Provider Demographics
NPI:1477899029
Name:THAKKER, SWETA R (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SWETA
Middle Name:R
Last Name:THAKKER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 ESSEX CT
Mailing Address - Street 2:
Mailing Address - City:MAYWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07607-1808
Mailing Address - Country:US
Mailing Address - Phone:201-312-7316
Mailing Address - Fax:
Practice Address - Street 1:15 ESSEX CT
Practice Address - Street 2:
Practice Address - City:MAYWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07607-1808
Practice Address - Country:US
Practice Address - Phone:201-312-7316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-28
Last Update Date:2012-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03543400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist