Provider Demographics
NPI:1396016812
Name:ULLAH, DARSHANA (PHARMD)
Entity Type:Individual
Prefix:
First Name:DARSHANA
Middle Name:
Last Name:ULLAH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 SEYMOURE CT
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-8360
Mailing Address - Country:US
Mailing Address - Phone:407-340-3808
Mailing Address - Fax:
Practice Address - Street 1:415 SEYMOURE CT
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-8360
Practice Address - Country:US
Practice Address - Phone:407-340-3808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-13
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS38682183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist