Provider Demographics
NPI:1750696266
Name:BHAYANA, SHALINI (BPHARM)
Entity type:Individual
Prefix:MRS
First Name:SHALINI
Middle Name:
Last Name:BHAYANA
Suffix:
Gender:F
Credentials:BPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:346 ROUTE 33
Mailing Address - Street 2:
Mailing Address - City:MERCERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-4402
Mailing Address - Country:US
Mailing Address - Phone:609-586-7066
Mailing Address - Fax:609-586-0170
Practice Address - Street 1:346 ROUTE 33
Practice Address - Street 2:
Practice Address - City:MERCERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08619-4402
Practice Address - Country:US
Practice Address - Phone:609-586-7066
Practice Address - Fax:609-586-0170
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-10
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03037800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist