Provider Demographics
NPI:1831069830
Name:AWWAL, MERVE
Entity type:Individual
Prefix:MRS
First Name:MERVE
Middle Name:
Last Name:AWWAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 MCBRIDE AVE STE 112
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-3813
Mailing Address - Country:US
Mailing Address - Phone:973-256-0222
Mailing Address - Fax:973-256-4222
Practice Address - Street 1:1225 MCBRIDE AVE STE 112
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07424-3813
Practice Address - Country:US
Practice Address - Phone:973-256-0222
Practice Address - Fax:973-256-4222
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-06
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04292600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty