Provider Demographics
NPI:1225704075
Name:UBHI, AVNINDER SINGH (PHARMD)
Entity Type:Individual
Prefix:
First Name:AVNINDER
Middle Name:SINGH
Last Name:UBHI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:590 LOWER LANDING RD APT 31D
Mailing Address - Street 2:
Mailing Address - City:BLACKWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-4233
Mailing Address - Country:US
Mailing Address - Phone:347-517-0471
Mailing Address - Fax:
Practice Address - Street 1:855 N MAIN ST
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08232-1441
Practice Address - Country:US
Practice Address - Phone:609-407-6562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04194800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist