Provider Demographics
NPI:1336495993
Name:NAIK, VRUSHALI P (RPH)
Entity Type:Individual
Prefix:MRS
First Name:VRUSHALI
Middle Name:P
Last Name:NAIK
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14132 176TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-1140
Mailing Address - Country:US
Mailing Address - Phone:425-869-6960
Mailing Address - Fax:
Practice Address - Street 1:14132 176TH AVE NE
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-1140
Practice Address - Country:US
Practice Address - Phone:425-869-6960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-31
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH 60270592183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist