Provider Demographics
NPI:1629666763
Name:GANDHI, MEGHA (PHARM D)
Entity Type:Individual
Prefix:
First Name:MEGHA
Middle Name:
Last Name:GANDHI
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 1:255 E GEORGE PL
Mailing Address - Street 2:
Mailing Address - City:ISELIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08830-1216
Mailing Address - Country:US
Mailing Address - Phone:973-627-0187
Mailing Address - Fax:
Practice Address - Street 1:490 E MAIN ST # 102
Practice Address - Street 2:
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-2484
Practice Address - Country:US
Practice Address - Phone:973-627-0187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04150500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist