Provider Demographics
NPI:1598063893
Name:RAWAL, RUCHI D (PHARMACY TECHNICIAN)
Entity Type:Individual
Prefix:
First Name:RUCHI
Middle Name:D
Last Name:RAWAL
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 PARSIPPANY BLVD
Mailing Address - Street 2:APT#206
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-1851
Mailing Address - Country:US
Mailing Address - Phone:908-444-1221
Mailing Address - Fax:973-983-5684
Practice Address - Street 1:66 FORD RD
Practice Address - Street 2:SUITE 230
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-1379
Practice Address - Country:US
Practice Address - Phone:973-983-6300
Practice Address - Fax:973-983-5684
Is Sole Proprietor?:No
Enumeration Date:2011-03-10
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RW01503900183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician