Provider Demographics
NPI:1467620393
Name:AYAD, MOURAD S (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:MOURAD
Middle Name:S
Last Name:AYAD
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 RTE 9
Mailing Address - Street 2:
Mailing Address - City:ENGLISHTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-8231
Mailing Address - Country:US
Mailing Address - Phone:732-536-7900
Mailing Address - Fax:732-536-7692
Practice Address - Street 1:120 RTE 9
Practice Address - Street 2:
Practice Address - City:ENGLISHTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07726-8231
Practice Address - Country:US
Practice Address - Phone:732-536-7900
Practice Address - Fax:732-536-7692
Is Sole Proprietor?:No
Enumeration Date:2008-02-13
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28R101975800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ28R101975800OtherNJ STATE PHARMACY LICENSE