Provider Demographics
NPI:1346403292
Name:BOINI, NARESH KUMAR (RPH)
Entity Type:Individual
Prefix:
First Name:NARESH KUMAR
Middle Name:
Last Name:BOINI
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 1:33820 OLD VALLEY PIKE STE 7
Mailing Address - Street 2:
Mailing Address - City:STRASBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22657-3793
Mailing Address - Country:US
Mailing Address - Phone:540-465-5001
Mailing Address - Fax:
Practice Address - Street 1:33820 OLD VALLEY PIKE STE 7
Practice Address - Street 2:
Practice Address - City:STRASBURG
Practice Address - State:VA
Practice Address - Zip Code:22657-3793
Practice Address - Country:US
Practice Address - Phone:540-465-5001
Practice Address - Fax:540-465-5006
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202207703183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist