Provider Demographics
NPI:1629347430
Name:RAJU, ALLURI V (RPH)
Entity Type:Individual
Prefix:MR
First Name:ALLURI
Middle Name:V
Last Name:RAJU
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 1:60 DAVIS AVE
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:NJ
Mailing Address - Zip Code:07869-1065
Mailing Address - Country:US
Mailing Address - Phone:973-361-3613
Mailing Address - Fax:
Practice Address - Street 1:76 MORRIS STREET
Practice Address - Street 2:MOLNAR PHARMACY
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960
Practice Address - Country:US
Practice Address - Phone:973-538-5053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-22
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02113900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist