Provider Demographics
NPI:1689128167
Name:LONDHE, PUJA (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:PUJA
Middle Name:
Last Name:LONDHE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 WALNUT ST
Mailing Address - Street 2:SUITE 813
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5237
Mailing Address - Country:US
Mailing Address - Phone:215-955-3505
Mailing Address - Fax:
Practice Address - Street 1:919 WALNUT ST
Practice Address - Street 2:SUITE 813
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5237
Practice Address - Country:US
Practice Address - Phone:215-955-3505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-12
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP450134183500000X
PARPI010152183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist