Provider Demographics
NPI:1962723536
Name:KAMTHAN, ARUNIMA (RPH)
Entity type:Individual
Prefix:
First Name:ARUNIMA
Middle Name:
Last Name:KAMTHAN
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 1:41 OAKWOOD VILLAGE
Mailing Address - Street 2:APT #11
Mailing Address - City:FLANDERS
Mailing Address - State:NJ
Mailing Address - Zip Code:07836
Mailing Address - Country:US
Mailing Address - Phone:908-362-6963
Mailing Address - Fax:
Practice Address - Street 1:151 ROUTE 94
Practice Address - Street 2:RITE AID STORE #10427
Practice Address - City:BLAIRSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07825
Practice Address - Country:US
Practice Address - Phone:908-362-6963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-18
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03207200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ28RI03207200OtherPHARMACIST LICENSE IN NJ