Oustaev, Alan Alexander

Oustaev, Alan Alexander is an sole proprietor health care provider with primary practice located at 60 Essex St Ste 105 , Rochelle Park NJ 07662-4347. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Oustaev, Alan Alexander can be contacted via phone (201) 880-7000.

Contact Information

Primary practice address
60 Essex St Ste 105 Rochelle Park NJ 07662-4347
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 28RI03942700 New Jersey

Profile Details

NPI number 1477030997
LBN Legal business name Oustaev, Alan Alexander
Credentials PHARM D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2018
Last updated Jul 26th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477030997 NPPES
New Jersey Other 28RI03942700 NEW JERSEY BOARD OF PHARMACY LICENSE

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