Provider Demographics
NPI:1326314162
Name:CHIN, JOHN WAY (RPH MS)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:WAY
Last Name:CHIN
Suffix:
Gender:M
Credentials:RPH MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8 RIVIERA DRIVE
Mailing Address - Street 2:
Mailing Address - City:MONROE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-8891
Mailing Address - Country:US
Mailing Address - Phone:732-521-2698
Mailing Address - Fax:732-521-2698
Practice Address - Street 1:134 BRIGHTON AVENUE
Practice Address - Street 2:
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740
Practice Address - Country:US
Practice Address - Phone:732-229-2400
Practice Address - Fax:732-229-4205
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-27
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02709000333600000X
NY031551-1333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy