Provider Demographics
NPI:1225310188
Name:AMALEAN, PARUL
Entity Type:Individual
Prefix:
First Name:PARUL
Middle Name:
Last Name:AMALEAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PARUL
Other - Middle Name:
Other - Last Name:TAILOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPHARM
Mailing Address - Street 1:2186 CHERRY RD
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-3281
Mailing Address - Country:US
Mailing Address - Phone:803-366-7050
Mailing Address - Fax:803-366-7062
Practice Address - Street 1:2186 CHERRY RD
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-3281
Practice Address - Country:US
Practice Address - Phone:803-366-7050
Practice Address - Fax:803-366-7062
Is Sole Proprietor?:No
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20052183500000X
SC12654183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist