Provider Demographics
NPI:1558957019
Name:POWER, JOHN (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:
Last Name:POWER
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 1:558 LAKEHURST RD
Mailing Address - Street 2:
Mailing Address - City:BROWNS MILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:08015-6060
Mailing Address - Country:US
Mailing Address - Phone:609-893-4700
Mailing Address - Fax:
Practice Address - Street 1:558 LAKEHURST RD
Practice Address - Street 2:
Practice Address - City:BROWNS MILLS
Practice Address - State:NJ
Practice Address - Zip Code:08015-6060
Practice Address - Country:US
Practice Address - Phone:609-893-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01537900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist