Provider Demographics
NPI:1437405255
Name:VAKHARIA, CHIRAG NARENDRA (RPH)
Entity Type:Individual
Prefix:
First Name:CHIRAG
Middle Name:NARENDRA
Last Name:VAKHARIA
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 1:17801 108TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-6423
Mailing Address - Country:US
Mailing Address - Phone:425-235-5383
Mailing Address - Fax:425-235-5392
Practice Address - Street 1:17801 108TH AVE SE
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-6423
Practice Address - Country:US
Practice Address - Phone:425-235-5383
Practice Address - Fax:425-235-5392
Is Sole Proprietor?:No
Enumeration Date:2012-07-30
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH600036181835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist