Provider Demographics
NPI:1851648273
Name:HIJLI, TULIKA
Entity Type:Individual
Prefix:MRS
First Name:TULIKA
Middle Name:
Last Name:HIJLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 E FRONT ST
Mailing Address - Street 2:
Mailing Address - City:KEYPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:07735-1584
Mailing Address - Country:US
Mailing Address - Phone:732-264-0904
Mailing Address - Fax:
Practice Address - Street 1:16 E FRONT ST
Practice Address - Street 2:
Practice Address - City:KEYPORT
Practice Address - State:NJ
Practice Address - Zip Code:07735-1584
Practice Address - Country:US
Practice Address - Phone:732-264-0904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-06
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP443567183500000X
NJ28RI03135400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist