Provider Demographics
NPI:1447841531
Name:ANDRAWIS, MONICA (PHARM D)
Entity type:Individual
Prefix:MS
First Name:MONICA
Middle Name:
Last Name:ANDRAWIS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 BRADFORD RD
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-4304
Mailing Address - Country:US
Mailing Address - Phone:732-718-2348
Mailing Address - Fax:
Practice Address - Street 1:12 BRADFORD RD
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-4304
Practice Address - Country:US
Practice Address - Phone:732-718-2348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04014700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist