Provider Demographics
NPI:1619451481
Name:SOOD, ANJALI (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ANJALI
Middle Name:
Last Name:SOOD
Suffix:
Gender:F
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 1:1690 WHITE OAK LN
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60192-4621
Mailing Address - Country:US
Mailing Address - Phone:847-558-9318
Mailing Address - Fax:
Practice Address - Street 1:2500 W HIGGINS RD STE 450
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-7208
Practice Address - Country:US
Practice Address - Phone:847-944-8261
Practice Address - Fax:847-944-8262
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-18
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051291129183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist