Provider Demographics
NPI:1033546361
Name:MEHTA, UCHITA (PHARM D)
Entity Type:Individual
Prefix:
First Name:UCHITA
Middle Name:
Last Name:MEHTA
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:PO BOX 123
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92815-0123
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:562-942-0729
Practice Address - Street 1:8205 E BROOKDALE LN
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-2529
Practice Address - Country:US
Practice Address - Phone:562-364-7922
Practice Address - Fax:562-942-0729
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-01
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA69699183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist