Provider Demographics
NPI:1598179566
Name:PARIKH, KRUTI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KRUTI
Middle Name:
Last Name:PARIKH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3240 WILKINSON BLVD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-5630
Mailing Address - Country:US
Mailing Address - Phone:704-392-7282
Mailing Address - Fax:704-392-1877
Practice Address - Street 1:3240 WILKINSON BLVD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-5630
Practice Address - Country:US
Practice Address - Phone:704-392-7282
Practice Address - Fax:704-392-1877
Is Sole Proprietor?:No
Enumeration Date:2014-06-17
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22988183500000X
FLPS50868183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist