Provider Demographics
NPI:1659008084
Name:MORI, PARAS (PHARMD)
Entity Type:Individual
Prefix:
First Name:PARAS
Middle Name:
Last Name:MORI
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 1:9 E CENTRAL AVE APT 317
Mailing Address - Street 2:
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1561
Mailing Address - Country:US
Mailing Address - Phone:973-722-7888
Mailing Address - Fax:
Practice Address - Street 1:2070 SPROUL RD
Practice Address - Street 2:
Practice Address - City:BROOMALL
Practice Address - State:PA
Practice Address - Zip Code:19008-2725
Practice Address - Country:US
Practice Address - Phone:610-356-6491
Practice Address - Fax:610-356-6492
Is Sole Proprietor?:No
Enumeration Date:2022-08-05
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04050400183500000X
PARP456700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist