Provider Demographics
NPI:1225784507
Name:AMIN, CHIRAG (RPH)
Entity Type:Individual
Prefix:MR
First Name:CHIRAG
Middle Name:
Last Name:AMIN
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 1:8447 DUNHAM STATION DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3339
Mailing Address - Country:US
Mailing Address - Phone:813-967-3808
Mailing Address - Fax:
Practice Address - Street 1:1617 34TH ST S STE B
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33711-2855
Practice Address - Country:US
Practice Address - Phone:727-291-7203
Practice Address - Fax:727-291-7207
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-25
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS35605183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist