Provider Demographics
NPI:1598933905
Name:OKSAS, YUSUF (RPH)
Entity Type:Individual
Prefix:MR
First Name:YUSUF
Middle Name:
Last Name:OKSAS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:MR
Other - First Name:JOE
Other - Middle Name:
Other - Last Name:OKSAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:100 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:HALEDON
Mailing Address - State:NJ
Mailing Address - Zip Code:07508-1754
Mailing Address - Country:US
Mailing Address - Phone:973-904-1846
Mailing Address - Fax:
Practice Address - Street 1:63 WANAQUE AVE.
Practice Address - Street 2:
Practice Address - City:POMPTON LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07442
Practice Address - Country:US
Practice Address - Phone:973-616-9962
Practice Address - Fax:973-616-9965
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02377600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist