Provider Demographics
NPI:1225432636
Name:ABOUCHAER, HANI (RPH)
Entity type:Individual
Prefix:
First Name:HANI
Middle Name:
Last Name:ABOUCHAER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 STATE ROUTE 10
Mailing Address - Street 2:
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936-2122
Mailing Address - Country:US
Mailing Address - Phone:973-887-2162
Mailing Address - Fax:
Practice Address - Street 1:130 STATE ROUTE 10
Practice Address - Street 2:
Practice Address - City:EAST HANOVER
Practice Address - State:NJ
Practice Address - Zip Code:07936-2122
Practice Address - Country:US
Practice Address - Phone:973-887-2162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-14
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02874200183500000X
NY045553183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist