Provider Demographics
NPI:1144972852
Name:GADA, SUNIL (RPH)
Entity type:Individual
Prefix:
First Name:SUNIL
Middle Name:
Last Name:GADA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 CRANBURY NECK RD
Mailing Address - Street 2:
Mailing Address - City:CRANBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08512-2824
Mailing Address - Country:US
Mailing Address - Phone:732-343-4796
Mailing Address - Fax:
Practice Address - Street 1:3703 WESTFIELD AVE
Practice Address - Street 2:CAMDEN DISCOUNT PHARMACY
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08105-0810
Practice Address - Country:US
Practice Address - Phone:856-963-7899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-24
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03507600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ28RI03507600OtherBOARD OF PHARMACY NJ