Provider Demographics
NPI:1417362989
Name:NAIK, KRUTI (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:KRUTI
Middle Name:
Last Name:NAIK
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 36
Mailing Address - Street 2:
Mailing Address - City:EASTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02642-0036
Mailing Address - Country:US
Mailing Address - Phone:203-362-7263
Mailing Address - Fax:
Practice Address - Street 1:711 MAIN ST
Practice Address - Street 2:
Practice Address - City:DENNIS PORT
Practice Address - State:MA
Practice Address - Zip Code:02639-1420
Practice Address - Country:US
Practice Address - Phone:203-362-7263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-24
Last Update Date:2014-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH234161183500000X
CTPCT.0012807183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist