Provider Demographics
NPI:1538282306
Name:VAIYA, NASRIN PYARALI (BS RPH)
Entity Type:Individual
Prefix:MS
First Name:NASRIN
Middle Name:PYARALI
Last Name:VAIYA
Suffix:
Gender:F
Credentials:BS RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 N RANDALL RD
Mailing Address - Street 2:
Mailing Address - City:LAKE IN THE HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60156-5943
Mailing Address - Country:US
Mailing Address - Phone:847-960-9937
Mailing Address - Fax:847-960-9934
Practice Address - Street 1:560 S SCHMALE RD
Practice Address - Street 2:
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-2419
Practice Address - Country:US
Practice Address - Phone:630-681-1587
Practice Address - Fax:630-681-1784
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051037719183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist