Provider Demographics
NPI:1942804448
Name:MONK, HERBERT HENRY JR (RPH)
Entity type:Individual
Prefix:MR
First Name:HERBERT
Middle Name:HENRY
Last Name:MONK
Suffix:JR
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 1:300 CANAL ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-4558
Mailing Address - Country:US
Mailing Address - Phone:978-740-2912
Mailing Address - Fax:978-740-2917
Practice Address - Street 1:300 CANAL ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-4558
Practice Address - Country:US
Practice Address - Phone:978-740-2912
Practice Address - Fax:978-740-2917
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH21168183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist