Provider Demographics
NPI:1346820701
Name:PARIKH, MEHUL (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:MEHUL
Middle Name:
Last Name:PARIKH
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-3314
Mailing Address - Country:US
Mailing Address - Phone:732-363-0144
Mailing Address - Fax:732-886-2568
Practice Address - Street 1:123 MADISON AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-3314
Practice Address - Country:US
Practice Address - Phone:732-363-0144
Practice Address - Fax:732-886-2568
Is Sole Proprietor?:No
Enumeration Date:2021-04-10
Last Update Date:2021-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02610800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist