Provider Demographics
NPI:1922542497
Name:ISKANDER, SALWA (RPH)
Entity Type:Individual
Prefix:
First Name:SALWA
Middle Name:
Last Name:ISKANDER
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 1:5 CROSSGATE RD
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07305-1205
Mailing Address - Country:US
Mailing Address - Phone:201-705-3468
Mailing Address - Fax:
Practice Address - Street 1:5 CROSSGATE RD
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07305-1205
Practice Address - Country:US
Practice Address - Phone:201-705-3468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-18
Last Update Date:2016-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035432-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist