Provider Demographics
NPI:1619371374
Name:PARIKH, SANKETKUMAR (PHARM D)
Entity Type:Individual
Prefix:
First Name:SANKETKUMAR
Middle Name:
Last Name:PARIKH
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4237 HIGHWAY 377 SOUTH, APT 1324
Mailing Address - Street 2:377 VILLAS
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76801
Mailing Address - Country:US
Mailing Address - Phone:201-233-1903
Mailing Address - Fax:
Practice Address - Street 1:200 WEST COMMERCE STREET
Practice Address - Street 2:377 VILLAS
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801
Practice Address - Country:US
Practice Address - Phone:325-646-8923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-09
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX55781183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist