Active NPIIndividual providerSole proprietor

Bushra Bofahredin

Pharmacy in Pennsauken, New Jersey

NPI Number1922402221
Practice location
4301 Maple Ave Unit A, Pennsauken, NJ 08109-1818
Fax
—
Last updated
October 15, 2014

Bushra Bofahredin is a Pharmacy based in Pennsauken, NJ. Bushra Bofahredin practices in Pennsauken, NJ. The NPI Number for Bushra Bofahredin is 1922402221 and holds a License No. 28RS00736300 (NJ). The current practice location address for Bushra Bofahredin is 4301 Maple Ave Unit A, Pennsauken, NJ 08109-1818 and can be reached out via phone at 856-320-2609.

Provider Profile Details

NPI Number
1922402221
Provider Name
Bushra Bofahredin
Provider Entity Type
Individual
Gender
Female
Address
4301 Maple Ave Unit A, Pennsauken, NJ 08109-1818
Phone Number
856-320-2609
Primary Taxonomy
Pharmacy · 333600000X
Sole Proprietor
Yes
Provider Enumeration Date
October 15, 2014
Last Update Date
October 15, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
4301 Maple Ave Unit A
Pennsauken, NJ 08109-1818
Zip
08109-1818
Phone Number
856-320-2609
Pennsauken, NJ 08109Get directions →

Provider Business Mailing Address Details

Address
4301 Maple Ave Unit A
Pennsauken, NJ 08109-1818
City
Pennsauken
State
NJ
Zip
08109-1818

License Information

License Number
28RS00736300
License State
NJ
Taxonomy
Pharmacy · 333600000X · 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 Bushra Bofahredin?

The NPI number of Bushra Bofahredin is 1922402221. It was assigned on October 15, 2014 and is currently active in the NPPES registry.

What is the specialty of Bushra Bofahredin?

Bushra Bofahredin is registered under the primary taxonomy Pharmacy (code 333600000X), licensed in NJ under license number 28RS00736300.

Where does Bushra Bofahredin practice?

The practice location is 4301 Maple Ave Unit A, Pennsauken, NJ 08109-1818. The office can be reached at 856-320-2609 (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 1922402221 directly on the NPPES registry website.

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