Provider Demographics
NPI:1609173301
Name:GANDHI, RAJNI B (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:RAJNI
Middle Name:B
Last Name:GANDHI
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1408 ARCHDALE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-4421
Mailing Address - Country:US
Mailing Address - Phone:980-355-0906
Mailing Address - Fax:704-705-1236
Practice Address - Street 1:1408 ARCHDALE DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-4421
Practice Address - Country:US
Practice Address - Phone:980-355-0906
Practice Address - Fax:704-705-1236
Is Sole Proprietor?:No
Enumeration Date:2011-02-16
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13477183500000X
SC10781183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC10781OtherSOUTH CAROLINA BOARD OF PHARMACY
NC13477OtherNC BOARD OF PHARMACY