Provider Demographics
NPI:1760766992
Name:BHIMANI, HITESHKUMAR D (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:HITESHKUMAR
Middle Name:D
Last Name:BHIMANI
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21790 21 MILE RD
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-2974
Mailing Address - Country:US
Mailing Address - Phone:586-469-0254
Mailing Address - Fax:586-469-1450
Practice Address - Street 1:3191 LANCASTER HWY STE H
Practice Address - Street 2:
Practice Address - City:RICHBURG
Practice Address - State:SC
Practice Address - Zip Code:29729-9238
Practice Address - Country:US
Practice Address - Phone:803-500-2998
Practice Address - Fax:803-619-2211
Is Sole Proprietor?:No
Enumeration Date:2011-10-06
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC37005183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist