Provider Demographics
NPI:1841677556
Name:SINGH-MOHED, INDIRA (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:INDIRA
Middle Name:
Last Name:SINGH-MOHED
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 LAURELWOOD TRL
Mailing Address - Street 2:AND POCONO ROAD
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-2827
Mailing Address - Country:US
Mailing Address - Phone:973-769-3784
Mailing Address - Fax:
Practice Address - Street 1:69 NEW RD
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-4206
Practice Address - Country:US
Practice Address - Phone:973-227-3937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-01
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03230800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ28RI03230800OtherPHARMACIST STATE LICENSE