Provider Demographics
NPI:1518320514
Name:PARIKH, PRERAKKUMAR ASHOKKUMAR (RPH)
Entity Type:Individual
Prefix:
First Name:PRERAKKUMAR
Middle Name:ASHOKKUMAR
Last Name:PARIKH
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 1:6300 COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-9120
Mailing Address - Country:US
Mailing Address - Phone:734-728-4030
Mailing Address - Fax:734-728-4037
Practice Address - Street 1:6300 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-9120
Practice Address - Country:US
Practice Address - Phone:734-728-4030
Practice Address - Fax:734-728-4037
Is Sole Proprietor?:No
Enumeration Date:2016-03-29
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302043314183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist