Provider Demographics
NPI:1427434612
Name:YOUSSEF, MOUNIR
Entity type:Individual
Prefix:
First Name:MOUNIR
Middle Name:
Last Name:YOUSSEF
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 BALDWIN RD
Mailing Address - Street 2:APT. J12
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-2022
Mailing Address - Country:US
Mailing Address - Phone:973-572-7817
Mailing Address - Fax:
Practice Address - Street 1:200 BALDWIN RD
Practice Address - Street 2:WALGREENS PHARMACY
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-2010
Practice Address - Country:US
Practice Address - Phone:973-939-2691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-11
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03724300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist