Provider Demographics
NPI:1689253239
Name:NOSH PHARM-LLC
Entity type:Organization
Organization Name:NOSH PHARM-LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NOHA
Authorized Official - Middle Name:
Authorized Official - Last Name:FALTAS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH, CCP
Authorized Official - Phone:848-391-8338
Mailing Address - Street 1:336 RYDERS LN
Mailing Address - Street 2:
Mailing Address - City:MILLTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08850-1706
Mailing Address - Country:US
Mailing Address - Phone:732-812-0000
Mailing Address - Fax:732-355-7000
Practice Address - Street 1:336 RYDERS LN
Practice Address - Street 2:
Practice Address - City:MILLTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08850-1706
Practice Address - Country:US
Practice Address - Phone:732-812-0000
Practice Address - Fax:732-355-7000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-02
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy