Active NPIIndividual provider

Marlon I Kidiiga, PHARMD

Pharmacist in Pennsauken, New Jersey

NPI Number1568742112
Practice location
4315 Marlton Pike, Pennsauken, NJ 08109-4400
Fax
—
Last updated
March 9, 2023

Marlon Ingaywa Kidiiga is a Pharmacist based in Pennsauken, NJ. Marlon Ingaywa Kidiiga practices in Pennsauken, NJ and has the professional credentials of PHARMD. The NPI Number for Marlon Ingaywa Kidiiga is 1568742112 and holds a License No. 28RJ03409 (NJ). The current practice location address for Marlon Ingaywa Kidiiga is 4315 Marlton Pike, Pennsauken, NJ 08109-4400 and can be reached out via phone at 856-910-8041.

Provider Profile Details

NPI Number
1568742112
Provider Name
Marlon Ingaywa Kidiiga
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
4315 Marlton Pike, Pennsauken, NJ 08109-4400
Phone Number
856-910-8041
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
August 26, 2011
Last Update Date
March 9, 2023
Certification Date
March 9, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
4315 Marlton Pike
Pennsauken, NJ 08109-4400
Zip
08109-4400
Phone Number
856-910-8041
Pennsauken, NJ 08109Get directions →

Provider Business Mailing Address Details

Address
4315 Marlton Pike
Pennsauken, NJ 08109-4400
City
Pennsauken
State
NJ
Zip
08109-4400
Phone Number
856-910-8041

License Information

License Number (1)
28RJ03409
License State (1)
NJ
Taxonomy (1)
Pharmacist · 183500000X
License Number (2)
28RI03435200
License State (2)
NJ
Taxonomy (2)
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marlon I Kidiiga, PHARMD?

The NPI number of Marlon I Kidiiga, PHARMD is 1568742112. It was assigned on August 26, 2011 and is currently active in the NPPES registry.

What is the specialty of Marlon I Kidiiga, PHARMD?

Marlon I Kidiiga, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RJ03409.

Where does Marlon I Kidiiga, PHARMD practice?

The practice location is 4315 Marlton Pike, Pennsauken, NJ 08109-4400. The office can be reached at 856-910-8041 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568742112 directly on the NPPES registry website.

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