Provider Demographics
NPI:1558647339
Name:PARIKH, POORVA M (BPHARM)
Entity Type:Individual
Prefix:MRS
First Name:POORVA
Middle Name:M
Last Name:PARIKH
Suffix:
Gender:F
Credentials:BPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:385 E SILVERADO RANCH BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-4428
Mailing Address - Country:US
Mailing Address - Phone:702-617-7895
Mailing Address - Fax:
Practice Address - Street 1:385 E SILVERADO RANCH BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89183-4428
Practice Address - Country:US
Practice Address - Phone:702-617-7895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV13182183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist