Provider Demographics
NPI:1578295739
Name:PAREKH, AARTI
Entity Type:Individual
Prefix:
First Name:AARTI
Middle Name:
Last Name:PAREKH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5655 PERSHING AVE APT 519
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63112-2147
Mailing Address - Country:US
Mailing Address - Phone:573-872-9498
Mailing Address - Fax:
Practice Address - Street 1:3055 BEAR CREEK DR
Practice Address - Street 2:
Practice Address - City:WENTZVILLE
Practice Address - State:MO
Practice Address - Zip Code:63385-3502
Practice Address - Country:US
Practice Address - Phone:638-698-9781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022017061333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2022017061OtherPHARMACIST LICENSE