Provider Demographics
NPI:1134446354
Name:TOTH, JANE M (RPH,CPI)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:M
Last Name:TOTH
Suffix:
Gender:F
Credentials:RPH,CPI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1091 S BROAD ST
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08611-1461
Mailing Address - Country:US
Mailing Address - Phone:609-393-3386
Mailing Address - Fax:609-394-0668
Practice Address - Street 1:1091 S BROAD ST
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08611-1461
Practice Address - Country:US
Practice Address - Phone:609-393-3386
Practice Address - Fax:609-394-0668
Is Sole Proprietor?:No
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJRI01976200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist