Provider Demographics
NPI:1861784845
Name:SEWAREN INNOVATIVE PHARMACEUTICAL PACKAGING
Entity type:Organization
Organization Name:SEWAREN INNOVATIVE PHARMACEUTICAL PACKAGING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:R.PH.IC
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:SALVADOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-634-1861
Mailing Address - Street 1:994 RAHWAY AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:AVENEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07001-1946
Mailing Address - Country:US
Mailing Address - Phone:732-634-1861
Mailing Address - Fax:732-634-0043
Practice Address - Street 1:994 RAHWAY AVE STE 1
Practice Address - Street 2:
Practice Address - City:AVENEL
Practice Address - State:NJ
Practice Address - Zip Code:07001-1946
Practice Address - Country:US
Practice Address - Phone:732-634-1861
Practice Address - Fax:732-634-0043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-09
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS007116003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2130283OtherPK