Provider Demographics
NPI:1841404738
Name:AUBIN, PAULINE JEAN (RPH)
Entity Type:Individual
Prefix:MS
First Name:PAULINE
Middle Name:JEAN
Last Name:AUBIN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 BOBOLINK CT
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-8451
Mailing Address - Country:US
Mailing Address - Phone:973-812-5298
Mailing Address - Fax:973-812-1058
Practice Address - Street 1:11H COMMERCE WAY
Practice Address - Street 2:
Practice Address - City:TOTOWA
Practice Address - State:NJ
Practice Address - Zip Code:07512-1154
Practice Address - Country:US
Practice Address - Phone:973-812-9100
Practice Address - Fax:973-812-1058
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01739600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist