Wainwright, Marvin

Wainwright, Marvin is an sole proprietor health care provider with primary practice located at 5 Wilkins Station Rd Suite 100, Medford NJ 08055-9606. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Wainwright, Marvin can be contacted via phone (609) 975-8197.

Contact Information

Primary practice address
5 Wilkins Station Rd Suite 100 Medford NJ 08055-9606
Fax: (609) 975-8223
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 28RI024224 New Jersey

Profile Details

NPI number 1295152759
LBN Legal business name Wainwright, Marvin
Credentials R.PH.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2014
Last updated Dec 23rd, 2020 - about 5 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 1295152759 NPPES
New Jersey Other 28RI024224 NJ STATE LICENSE

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