Provider Demographics
NPI:1437430949
Name:PRAJAPATI, PRAHLADBHAI
Entity Type:Individual
Prefix:
First Name:PRAHLADBHAI
Middle Name:
Last Name:PRAJAPATI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2012 NORTH MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:HIGHPOINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-0000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2012 NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:HIGHPOINT
Practice Address - State:NC
Practice Address - Zip Code:27262-0000
Practice Address - Country:US
Practice Address - Phone:717-975-5937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-30
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7376183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist