Provider Demographics
NPI:1184966863
Name:ESKAROS, USAMA RUSHDY WAHBA (PHARMACIST)
Entity type:Individual
Prefix:
First Name:USAMA
Middle Name:RUSHDY WAHBA
Last Name:ESKAROS
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:288 SMITH ST
Mailing Address - Street 2:
Mailing Address - City:PERTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08861-4042
Mailing Address - Country:US
Mailing Address - Phone:732-324-4490
Mailing Address - Fax:
Practice Address - Street 1:288 SMITH ST
Practice Address - Street 2:
Practice Address - City:PERTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08861-4042
Practice Address - Country:US
Practice Address - Phone:732-324-4490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03489200183500000X
TX52405183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist