Provider Demographics
NPI:1164239893
Name:MUNNAN-URREHMAN, YOUSUF (BPHARM)
Entity type:Individual
Prefix:
First Name:YOUSUF
Middle Name:
Last Name:MUNNAN-URREHMAN
Suffix:
Gender:M
Credentials:BPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 PASSAIC ST
Mailing Address - Street 2:
Mailing Address - City:GARFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07026-3159
Mailing Address - Country:US
Mailing Address - Phone:908-930-4924
Mailing Address - Fax:973-473-5953
Practice Address - Street 1:50 PASSAIC ST
Practice Address - Street 2:
Practice Address - City:GARFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07026-3159
Practice Address - Country:US
Practice Address - Phone:973-779-5951
Practice Address - Fax:973-473-5951
Is Sole Proprietor?:No
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03172300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist