Active NPIIndividual provider

Mina Kasdalla

Pharmacist in Deptford, New Jersey

NPI Number1760103279
Practice location
860 Cooper St, Deptford, NJ 08096-2598
Fax
856-848-7549
Last updated
September 5, 2022

Mina Kasdalla is a Pharmacist based in Deptford, NJ. Mina Kasdalla practices in Deptford, NJ. The NPI Number for Mina Kasdalla is 1760103279 and holds a License No. 28RI04265000 (NJ). The current practice location address for Mina Kasdalla is 860 Cooper St, Deptford, NJ 08096-2598 and can be reached out via phone at 856-848-5402 and via fax at 856-848-7549.

Provider Profile Details

NPI Number
1760103279
Provider Name
Mina Kasdalla
Provider Entity Type
Individual
Gender
Male
Address
860 Cooper St, Deptford, NJ 08096-2598
Phone Number
856-848-5402
Fax Number
856-848-7549
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
September 5, 2022
Last Update Date
September 5, 2022
Certification Date
September 4, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
860 Cooper St
Deptford, NJ 08096-2598
Zip
08096-2598
Phone Number
856-848-5402
Fax Number
856-848-7549
Deptford, NJ 08096Get directions →

Provider Business Mailing Address Details

Address
860 Cooper St
Deptford, NJ 08096-2598
City
Deptford
State
NJ
Zip
08096-2598
Phone Number
856-848-5402
Fax Number
856-848-7549

License Information

License Number
28RI04265000
License State
NJ
Taxonomy
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 Mina Kasdalla?

The NPI number of Mina Kasdalla is 1760103279. It was assigned on September 5, 2022 and is currently active in the NPPES registry.

What is the specialty of Mina Kasdalla?

Mina Kasdalla is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI04265000.

Where does Mina Kasdalla practice?

The practice location is 860 Cooper St, Deptford, NJ 08096-2598. The office can be reached at 856-848-5402 (phone) or 856-848-7549 (fax).

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 1760103279 directly on the NPPES registry website.

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