Provider Demographics
NPI:1710588223
Name:MALKANI, REEMA (PHARMD)
Entity type:Individual
Prefix:
First Name:REEMA
Middle Name:
Last Name:MALKANI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 ABBEY CT
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-2405
Mailing Address - Country:US
Mailing Address - Phone:973-735-7496
Mailing Address - Fax:
Practice Address - Street 1:807 ABBEY CT
Practice Address - Street 2:
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-2405
Practice Address - Country:US
Practice Address - Phone:973-735-7496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03446900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist