Provider Demographics
NPI:1578675575
Name:ALHOUT INC
Entity Type:Organization
Organization Name:ALHOUT INC
Other - Org Name:MEDICINE SHOPPE PHARMACY OF SADDLE BROOK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AATIF
Authorized Official - Middle Name:
Authorized Official - Last Name:ALHOUT
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:201-291-0844
Mailing Address - Street 1:487 MARKET ST.
Mailing Address - Street 2:
Mailing Address - City:SADDLE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07663
Mailing Address - Country:US
Mailing Address - Phone:201-291-0844
Mailing Address - Fax:201-291-0857
Practice Address - Street 1:487 MARKET STREET
Practice Address - Street 2:
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663
Practice Address - Country:US
Practice Address - Phone:201-291-0844
Practice Address - Fax:201-291-0857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJRS005272003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3137658OtherOTHER ID NUMBER-COMMERCIAL NUMBER
NJ6838804Medicaid
3137658OtherOTHER ID NUMBER
NJ6838804Medicaid