Doctor Name: | MR. STEPHEN IP |
NPI Number: | 1558639666 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 5201-0701-0125-544 |
Business Practice Address: | 406 E Madison Ave Dumont, NJ - 076282629 |
Business Phone Number: | 2013848942 |
Business Fax Number: | |
Mailing Address: | 108 Jefferson Ave, RIVER EDGE |
State: | NJ |
Postal Code: | 076612105 |
Phone Number: | 2015990713 |
Fax Number: | |
NPI Enumeration Date: | 12/02/2011 |
NPI Last Update Date: | 12/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | 5201-0701-0125-544 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |