Provider Demographics
NPI:1285914846
Name:PAYBA, CHA HWA (RPH)
Entity type:Individual
Prefix:
First Name:CHA HWA
Middle Name:
Last Name:PAYBA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2353 LAKEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-1219
Mailing Address - Country:US
Mailing Address - Phone:732-370-1903
Mailing Address - Fax:732-370-5427
Practice Address - Street 1:2353 LAKEWOOD RD
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-1219
Practice Address - Country:US
Practice Address - Phone:732-370-1903
Practice Address - Fax:732-370-5427
Is Sole Proprietor?:No
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02336500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist