Provider Demographics
NPI:1780934190
Name:SCHAHAM, OREN (RPH)
Entity type:Individual
Prefix:
First Name:OREN
Middle Name:
Last Name:SCHAHAM
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 1:16 HASTINGS RD
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-1365
Mailing Address - Country:US
Mailing Address - Phone:732-617-1517
Mailing Address - Fax:
Practice Address - Street 1:16 HASTINGS RD
Practice Address - Street 2:
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-1365
Practice Address - Country:US
Practice Address - Phone:732-617-1517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02070500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist