Provider Demographics
NPI:1184195836
Name:SHARMA, AJAYKUMAR NARAYAN (RPH)
Entity Type:Individual
Prefix:
First Name:AJAYKUMAR
Middle Name:NARAYAN
Last Name:SHARMA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9809 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-5301
Mailing Address - Country:US
Mailing Address - Phone:806-401-0422
Mailing Address - Fax:
Practice Address - Street 1:9809 UNIVERSITY AVE
Practice Address - Street 2:WALMART NEIGHBORHOOD MARKET PHARMACY
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423
Practice Address - Country:US
Practice Address - Phone:806-401-0422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-06
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60340183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist