Provider Demographics
NPI:1538473079
Name:RADADIA, SONAL SANJAY (PHARMACIST)
Entity Type:Individual
Prefix:MRS
First Name:SONAL
Middle Name:SANJAY
Last Name:RADADIA
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4209 HORSESHOE WAY
Mailing Address - Street 2:
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-1063
Mailing Address - Country:US
Mailing Address - Phone:215-855-1519
Mailing Address - Fax:
Practice Address - Street 1:1390 S VALLEY FORGE RD
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-4718
Practice Address - Country:US
Practice Address - Phone:215-361-1759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP443362183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist