Doctor Name: | BUSHRA BOFAHREDIN |
NPI Number: | 1922402221 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 28RS00736300 |
Business Practice Address: | 4301 Maple Ave Unit A Pennsauken, NJ - 081091818 |
Business Phone Number: | 8563202609 |
Business Fax Number: | |
Mailing Address: | 4301 Maple Ave Unit A, PENNSAUKEN |
State: | NJ |
Postal Code: | 081091818 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/15/2014 |
NPI Last Update Date: | 10/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | 28RS00736300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |