Active NPIIndividual provider

Amanda Sourour

Pharmacist in Colonia, New Jersey

NPI Number1790398998
Practice location
1303 Saint Georges Ave, Colonia, NJ 07067-3925
Fax
—
Last updated
August 26, 2020

Amanda Sourour is a Pharmacist based in Colonia, NJ. Amanda Sourour practices in Colonia, NJ. The NPI Number for Amanda Sourour is 1790398998 and holds a License No. 28RI03833400 (NJ). The current practice location address for Amanda Sourour is 1303 Saint Georges Ave, Colonia, NJ 07067-3925 and can be reached out via phone at 732-827-2904.

Provider Profile Details

NPI Number
1790398998
Provider Name
Amanda Sourour
Provider Entity Type
Individual
Gender
Female
Address
1303 Saint Georges Ave, Colonia, NJ 07067-3925
Phone Number
732-827-2904
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
August 26, 2020
Last Update Date
August 26, 2020
Certification Date
August 26, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1303 Saint Georges Ave
Colonia, NJ 07067-3925
Zip
07067-3925
Phone Number
732-827-2904
Colonia, NJ 07067Get directions →

Provider Business Mailing Address Details

Address
1303 Saint Georges Ave
Colonia, NJ 07067-3925
City
Colonia
State
NJ
Zip
07067-3925
Phone Number
732-827-2904

License Information

License Number
28RI03833400
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 Amanda Sourour?

The NPI number of Amanda Sourour is 1790398998. It was assigned on August 26, 2020 and is currently active in the NPPES registry.

What is the specialty of Amanda Sourour?

Amanda Sourour is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI03833400.

Where does Amanda Sourour practice?

The practice location is 1303 Saint Georges Ave, Colonia, NJ 07067-3925. The office can be reached at 732-827-2904 (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 1790398998 directly on the NPPES registry website.

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