Provider Demographics
NPI:1457576241
Name:MENGHANI, VIJAY G (MS(PHARMACY))
Entity Type:Individual
Prefix:MR
First Name:VIJAY
Middle Name:G
Last Name:MENGHANI
Suffix:
Gender:M
Credentials:MS(PHARMACY)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 RUDOLPH DR
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08361-6154
Mailing Address - Country:US
Mailing Address - Phone:856-794-5651
Mailing Address - Fax:856-825-5057
Practice Address - Street 1:1700 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MILLVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08332-3512
Practice Address - Country:US
Practice Address - Phone:856-825-7866
Practice Address - Fax:856-825-5057
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02126400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist