Provider Demographics
NPI:1205148699
Name:AMIN, BINTA D (RPH)
Entity type:Individual
Prefix:MRS
First Name:BINTA
Middle Name:D
Last Name:AMIN
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 1:3 FELICIA CT
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-2229
Mailing Address - Country:US
Mailing Address - Phone:856-566-4536
Mailing Address - Fax:856-784-2941
Practice Address - Street 1:100 WARWICK RD. & LONGWOOD DR.
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:NJ
Practice Address - Zip Code:08084-2229
Practice Address - Country:US
Practice Address - Phone:856-784-2999
Practice Address - Fax:856-784-2941
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02507800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist