Provider Demographics
NPI:1568760684
Name:SHIO, HENRY (RPH)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:
Last Name:SHIO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 ROUTE 17 N
Mailing Address - Street 2:RAMSEY SQUARE
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-1167
Mailing Address - Country:US
Mailing Address - Phone:201-327-4901
Mailing Address - Fax:201-327-6322
Practice Address - Street 1:1300 ROUTE 17 N
Practice Address - Street 2:RAMSEY SQUARE
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-1167
Practice Address - Country:US
Practice Address - Phone:201-327-4901
Practice Address - Fax:201-327-6322
Is Sole Proprietor?:No
Enumeration Date:2011-03-14
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01558000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist