Provider Demographics
NPI:1689053647
Name:BHAKTA, DIXIT (PHARM D)
Entity Type:Individual
Prefix:
First Name:DIXIT
Middle Name:
Last Name:BHAKTA
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 1:11713 LAUREN CT
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-8755
Mailing Address - Country:US
Mailing Address - Phone:661-992-1703
Mailing Address - Fax:
Practice Address - Street 1:11713 LAUREN CT
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-8755
Practice Address - Country:US
Practice Address - Phone:661-992-1703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-23
Last Update Date:2023-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA63613183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist