Provider Demographics
NPI:1558950998
Name:SANCHEZ, TATIANA E (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TATIANA
Middle Name:E
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 W BELLEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:NJ
Mailing Address - Zip Code:07405-1368
Mailing Address - Country:US
Mailing Address - Phone:551-226-3655
Mailing Address - Fax:
Practice Address - Street 1:1646 MAIN AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-2142
Practice Address - Country:US
Practice Address - Phone:973-546-9599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04047900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist