Provider Demographics
NPI:1164766457
Name:FEEHA MANAGEMENT, LLC
Entity Type:Organization
Organization Name:FEEHA MANAGEMENT, LLC
Other - Org Name:HAN AH REUM PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CHAE
Authorized Official - Middle Name:HEE
Authorized Official - Last Name:HA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:201-943-8787
Mailing Address - Street 1:321 BROAD AVE
Mailing Address - Street 2:MAIL SLOT #147
Mailing Address - City:RIDGEFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07657-2346
Mailing Address - Country:US
Mailing Address - Phone:201-943-8787
Mailing Address - Fax:201-943-7898
Practice Address - Street 1:321 BROAD AVE
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07657-2346
Practice Address - Country:US
Practice Address - Phone:201-943-8787
Practice Address - Fax:201-943-7898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-27
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS00577500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty