Provider Demographics
NPI:1316535198
Name:DWIVEDI, HARSH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HARSH
Middle Name:
Last Name:DWIVEDI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:366 RICHLAND AVE APT 5303
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-3265
Mailing Address - Country:US
Mailing Address - Phone:251-209-0926
Mailing Address - Fax:
Practice Address - Street 1:131 3RD ST
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-3109
Practice Address - Country:US
Practice Address - Phone:740-373-2961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03135884183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist