Provider Demographics
NPI:1437798584
Name:AKRUWALA, RAJ KUMAN (PHARMD,RPH)
Entity Type:Individual
Prefix:MR
First Name:RAJ
Middle Name:KUMAN
Last Name:AKRUWALA
Suffix:
Gender:M
Credentials:PHARMD,RPH
Other - Prefix:MR
Other - First Name:RAJ
Other - Middle Name:KUMAN
Other - Last Name:AKRUWALA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD,RPH
Mailing Address - Street 1:115 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-1993
Mailing Address - Country:US
Mailing Address - Phone:973-969-1155
Mailing Address - Fax:973-969-1170
Practice Address - Street 1:115 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-1993
Practice Address - Country:US
Practice Address - Phone:973-969-1155
Practice Address - Fax:973-969-1155
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-06
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04002500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist