Provider Demographics
NPI:1568742013
Name:TOPIWALA, NIDHI (PHARM,D)
Entity Type:Individual
Prefix:DR
First Name:NIDHI
Middle Name:
Last Name:TOPIWALA
Suffix:
Gender:F
Credentials:PHARM,D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1933 BLUE HERON CIR
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:IL
Mailing Address - Zip Code:60103-2305
Mailing Address - Country:US
Mailing Address - Phone:847-371-1381
Mailing Address - Fax:847-531-8158
Practice Address - Street 1:1933 BLUE HERON CIR
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:IL
Practice Address - Zip Code:60103-2305
Practice Address - Country:US
Practice Address - Phone:847-371-1381
Practice Address - Fax:847-531-8158
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-27
Last Update Date:2011-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051-289992183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist