Provider Demographics
NPI:1184453219
Name:PHILIP, SINI S (PHARMD)
Entity type:Individual
Prefix:
First Name:SINI
Middle Name:S
Last Name:PHILIP
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1627 COMMISSIONERS RD
Mailing Address - Street 2:
Mailing Address - City:MULLICA HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08062-4725
Mailing Address - Country:US
Mailing Address - Phone:267-934-3109
Mailing Address - Fax:
Practice Address - Street 1:1627 COMMISSIONERS RD
Practice Address - Street 2:
Practice Address - City:MULLICA HILL
Practice Address - State:NJ
Practice Address - Zip Code:08062-4725
Practice Address - Country:US
Practice Address - Phone:267-934-3109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI029223001835E0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835E0208XPharmacy Service ProvidersPharmacistEmergency Medicine