Provider Demographics
NPI:1871876763
Name:OSTRANDER, MEREDITH (RPH)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:OSTRANDER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1131 US HIGHWAY 46
Mailing Address - Street 2:
Mailing Address - City:LEDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07852-9704
Mailing Address - Country:US
Mailing Address - Phone:973-584-7920
Mailing Address - Fax:
Practice Address - Street 1:1131 US HIGHWAY 46
Practice Address - Street 2:
Practice Address - City:LEDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07852-9704
Practice Address - Country:US
Practice Address - Phone:974-584-7920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02730400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist