Provider Demographics
NPI:1831407220
Name:NGOBEH, LAMIN G (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:LAMIN
Middle Name:G
Last Name:NGOBEH
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 SPLIT RAIL LN
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-8415
Mailing Address - Country:US
Mailing Address - Phone:302-369-3975
Mailing Address - Fax:
Practice Address - Street 1:# 7 WEST LANDIS AVE
Practice Address - Street 2:RITE AID PHARMACY
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360
Practice Address - Country:US
Practice Address - Phone:856-691-5151
Practice Address - Fax:856-691-1755
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-20
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RJ1823183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist