Provider Demographics
NPI:1346916251
Name:MENLO PHARMA INC
Entity Type:Organization
Organization Name:MENLO PHARMA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DABEERUDDIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-397-3227
Mailing Address - Street 1:126 CENTRAL AVE # 2A
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-2150
Mailing Address - Country:US
Mailing Address - Phone:908-264-8910
Mailing Address - Fax:908-264-8898
Practice Address - Street 1:126 CENTRAL AVE # 2A
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-2150
Practice Address - Country:US
Practice Address - Phone:908-264-8910
Practice Address - Fax:908-264-8898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy