Marina M Awadalla
Individual provider Active NPI Pharmacist · Bloomfield, NJ
NPI 1548087794 · NPPES record last updated Sep 20, 2024
Key facts
- NPI
- 1548087794
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 89727 (CA)
- Practice address
- 76 State St Apt 22
Bloomfield, NJ 07003-2681 - Phone
- (973) 415-4162
- NPI assigned
- Sep 20, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 89727 | CA | Yes |
Addresses
Primary practice location
76 State St Apt 22
Bloomfield, NJ 07003-2681
Mailing address
76 State St Apt 22
Bloomfield, NJ 07003-2681
Phone (973) 415-4162
Other providers in Bloomfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.