Provider Demographics
NPI:1184222127
Name:GOHBRIAL, FARID (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:FARID
Middle Name:
Last Name:GOHBRIAL
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 FRANKLIN BLVD
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1953
Mailing Address - Country:US
Mailing Address - Phone:215-307-5275
Mailing Address - Fax:
Practice Address - Street 1:979 ROUTE 1
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-2712
Practice Address - Country:US
Practice Address - Phone:732-545-7979
Practice Address - Fax:732-545-0616
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03423900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist