Provider Demographics
NPI:1265566806
Name:MANCHERIL, ARUN J (RPH)
Entity type:Individual
Prefix:
First Name:ARUN
Middle Name:J
Last Name:MANCHERIL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 CANTERBURY CT
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-6209
Mailing Address - Country:US
Mailing Address - Phone:718-920-5778
Mailing Address - Fax:
Practice Address - Street 1:62 CANTERBURY CT
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-6209
Practice Address - Country:US
Practice Address - Phone:718-920-5778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP440536183500000X
NY0454831835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835X0200XPharmacy Service ProvidersPharmacistOncology