Provider Demographics
NPI:1790025625
Name:KOTHARI, HARSH P (PHARM D)
Entity Type:Individual
Prefix:MR
First Name:HARSH
Middle Name:P
Last Name:KOTHARI
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 1:112 HAMPSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-4312
Mailing Address - Country:US
Mailing Address - Phone:631-662-1781
Mailing Address - Fax:
Practice Address - Street 1:226 LAKE STREET PLZ
Practice Address - Street 2:
Practice Address - City:PENN YAN
Practice Address - State:NY
Practice Address - Zip Code:14527-1811
Practice Address - Country:US
Practice Address - Phone:631-662-1781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-01
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY57210183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist