Provider Demographics
NPI:1093996084
Name:NAIDOO, ROHINI (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:ROHINI
Middle Name:
Last Name:NAIDOO
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14837 POMERADO RD
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-2803
Mailing Address - Country:US
Mailing Address - Phone:858-748-9130
Mailing Address - Fax:858-748-1486
Practice Address - Street 1:14837 POMERADO RD
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2803
Practice Address - Country:US
Practice Address - Phone:858-748-9130
Practice Address - Fax:858-748-1486
Is Sole Proprietor?:No
Enumeration Date:2007-11-18
Last Update Date:2007-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53321183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist