Provider Demographics
NPI:1225206360
Name:MURAO, SATOMI (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SATOMI
Middle Name:
Last Name:MURAO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 RIDGE ST
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07646-2303
Mailing Address - Country:US
Mailing Address - Phone:201-967-0434
Mailing Address - Fax:
Practice Address - Street 1:136 LAKE AVE
Practice Address - Street 2:
Practice Address - City:MIDLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07432-1945
Practice Address - Country:US
Practice Address - Phone:201-612-3070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02827500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ28RI02827500OtherRPH STATE LICENSE