Provider Demographics
NPI:1639559172
Name:NATHOO, ASGHAR (RPH)
Entity Type:Individual
Prefix:
First Name:ASGHAR
Middle Name:
Last Name:NATHOO
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 1:365 GEORGES RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:DAYTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08810-1639
Mailing Address - Country:US
Mailing Address - Phone:732-329-2626
Mailing Address - Fax:732-329-2215
Practice Address - Street 1:365 GEORGES RD
Practice Address - Street 2:SUITE 5
Practice Address - City:DAYTON
Practice Address - State:NJ
Practice Address - Zip Code:08810-1639
Practice Address - Country:US
Practice Address - Phone:732-329-2626
Practice Address - Fax:732-329-2215
Is Sole Proprietor?:No
Enumeration Date:2015-05-30
Last Update Date:2015-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02026900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist