Provider Demographics
NPI:1437134996
Name:BAROT, MANOJ (B S PHARMACY)
Entity Type:Individual
Prefix:
First Name:MANOJ
Middle Name:
Last Name:BAROT
Suffix:
Gender:M
Credentials:B S PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 HIGHVIEW CT
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-6271
Mailing Address - Country:US
Mailing Address - Phone:973-616-5333
Mailing Address - Fax:
Practice Address - Street 1:1183 JEROME AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10452-3331
Practice Address - Country:US
Practice Address - Phone:718-992-8182
Practice Address - Fax:718-992-8184
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041072183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist