Provider Demographics
NPI:1306014980
Name:HUNADI, GREGORY JOHN (RPH)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:JOHN
Last Name:HUNADI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 LIME ST
Mailing Address - Street 2:
Mailing Address - City:PALMERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18071-9756
Mailing Address - Country:US
Mailing Address - Phone:610-852-3496
Mailing Address - Fax:
Practice Address - Street 1:759 ROUTE 15 SOUTH
Practice Address - Street 2:
Practice Address - City:LAKE HOPATCONG
Practice Address - State:NJ
Practice Address - Zip Code:07849
Practice Address - Country:US
Practice Address - Phone:973-663-0250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-15
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01790100183500000X
PARP028492L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP028492LOtherPHARMACIST
NJ28RI01790100OtherPHARMACIST