Provider Demographics
NPI:1407274566
Name:VASANI, ALPESHKUMAR (AV)
Entity Type:Individual
Prefix:
First Name:ALPESHKUMAR
Middle Name:
Last Name:VASANI
Suffix:
Gender:M
Credentials:AV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 ARBOR CIR
Mailing Address - Street 2:
Mailing Address - City:COLMAR
Mailing Address - State:PA
Mailing Address - Zip Code:18915-9608
Mailing Address - Country:US
Mailing Address - Phone:215-716-3301
Mailing Address - Fax:215-855-7575
Practice Address - Street 1:1801 N BROAD ST STE 14
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-1109
Practice Address - Country:US
Practice Address - Phone:215-855-7500
Practice Address - Fax:215-855-7575
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-04
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP443391183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist