Provider Demographics
NPI:1750045324
Name:SONI, YAGNESH (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:YAGNESH
Middle Name:
Last Name:SONI
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:YAGNESHKUMAR
Other - Middle Name:
Other - Last Name:SONI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARM D
Mailing Address - Street 1:4610 S UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-3818
Mailing Address - Country:US
Mailing Address - Phone:954-434-2002
Mailing Address - Fax:
Practice Address - Street 1:4610 S UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-3818
Practice Address - Country:US
Practice Address - Phone:954-434-2002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS63455183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist