Provider Demographics
NPI:1699094771
Name:EHASZ, ANNETTE E (RPH)
Entity type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:E
Last Name:EHASZ
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:ANNETTE
Other - Middle Name:E
Other - Last Name:MONDRONE-EHASZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:50 WALMART PLAZA
Mailing Address - Street 2:SHOPRITE PHARMACY OF CLINTON
Mailing Address - City:CLINTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08809-1264
Mailing Address - Country:US
Mailing Address - Phone:908-730-6555
Mailing Address - Fax:908-730-0961
Practice Address - Street 1:50 WALMART PLAZA
Practice Address - Street 2:SHOPRITE PHARMACY OF CLINTON
Practice Address - City:CLINTON
Practice Address - State:NJ
Practice Address - Zip Code:08809-1264
Practice Address - Country:US
Practice Address - Phone:908-730-6555
Practice Address - Fax:908-730-0961
Is Sole Proprietor?:No
Enumeration Date:2010-05-27
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02102100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist