Provider Demographics
NPI:1558657965
Name:JOSHI, SANJAY ASHOKKUMAR (RPH)
Entity Type:Individual
Prefix:MR
First Name:SANJAY
Middle Name:ASHOKKUMAR
Last Name:JOSHI
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 1:11750 COMMERCIAL BLVD.
Mailing Address - Street 2:TARGET 1350
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037
Mailing Address - Country:US
Mailing Address - Phone:317-845-4962
Mailing Address - Fax:317-845-4962
Practice Address - Street 1:11750 COMMERCIAL DR
Practice Address - Street 2:T-1350
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-2903
Practice Address - Country:US
Practice Address - Phone:317-845-4962
Practice Address - Fax:317-845-4962
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26021388A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist