Provider Demographics
NPI:1568073211
Name:SAKALLIOGLU, MERVE (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:MERVE
Middle Name:
Last Name:SAKALLIOGLU
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4296 ROUTE 130
Mailing Address - Street 2:
Mailing Address - City:WILLINGBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08046-2027
Mailing Address - Country:US
Mailing Address - Phone:609-871-9017
Mailing Address - Fax:
Practice Address - Street 1:4296 ROUTE 130
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-2027
Practice Address - Country:US
Practice Address - Phone:609-871-9017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-14
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03831300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist