Provider Demographics
NPI:1598042053
Name:SAWANT, VINAY (RPH)
Entity Type:Individual
Prefix:
First Name:VINAY
Middle Name:
Last Name:SAWANT
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 1:6720 NW 174TH TER
Mailing Address - Street 2:APT J
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-5852
Mailing Address - Country:US
Mailing Address - Phone:305-406-3760
Mailing Address - Fax:
Practice Address - Street 1:6720 NW 174TH TER
Practice Address - Street 2:APT J
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-5852
Practice Address - Country:US
Practice Address - Phone:305-406-3760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-12
Last Update Date:2011-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS38518183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist