Provider Demographics
NPI:1609025931
Name:DESHPANDE, PRASHANTH (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:PRASHANTH
Middle Name:
Last Name:DESHPANDE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1029 UPCHURCH FARM LN
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-8762
Mailing Address - Country:US
Mailing Address - Phone:919-491-5048
Mailing Address - Fax:
Practice Address - Street 1:1010 MARTIN LUTHER KING PKWY
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-3139
Practice Address - Country:US
Practice Address - Phone:919-213-4232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-10
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17552183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist