Provider Demographics
NPI:1356636401
Name:FARHAD AND BRIJAL LLC
Entity Type:Organization
Organization Name:FARHAD AND BRIJAL LLC
Other - Org Name:VALURX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:FARHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:DARUWALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-513-9940
Mailing Address - Street 1:2075 HAMBURG TPKE STE 2A
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-6293
Mailing Address - Country:US
Mailing Address - Phone:973-513-9940
Mailing Address - Fax:973-513-9941
Practice Address - Street 1:2075 HAMBURG TPKE STE 2A
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-6293
Practice Address - Country:US
Practice Address - Phone:973-513-9940
Practice Address - Fax:973-513-9941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-16
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 3336C0003X, 3336C0004X, 3336M0002X
NJ28RS00715800333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0294381Medicaid
2130846OtherPK
NJ0294381Medicaid