Raghunandan, Latchman

Raghunandan, Latchman is an sole proprietor health care provider with primary practice located at 125 Avon Ave , Newark NJ 07108-2531. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Raghunandan, Latchman can be contacted via phone (973) 824-5010.

Contact Information

Primary practice address
125 Avon Ave Newark NJ 07108-2531
Fax: (973) 824-5920
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RI20923 New Jersey

Profile Details

NPI number 1497818165
LBN Legal business name Raghunandan, Latchman
Credentials B.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2006
Last updated Jul 9th, 2007 - about 18 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 1497818165 NPPES
New Jersey MEDICAID 7946007

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