Provider Demographics
NPI:1558632075
Name:SODHI, CHARANJIT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHARANJIT
Middle Name:
Last Name:SODHI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3110 TALA LOOP
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-3127
Mailing Address - Country:US
Mailing Address - Phone:386-299-9247
Mailing Address - Fax:
Practice Address - Street 1:3110 TALA LOOP
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-3127
Practice Address - Country:US
Practice Address - Phone:386-299-9247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-13
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS41961183500000X
FLPU67381835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835G0303XPharmacy Service ProvidersPharmacistGeriatric