Provider Demographics
NPI:1790095370
Name:SHESHAM, ROHINI D (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ROHINI
Middle Name:D
Last Name:SHESHAM
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2324 COPPERSTONE DR, APT-1E
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265
Mailing Address - Country:US
Mailing Address - Phone:336-554-4852
Mailing Address - Fax:
Practice Address - Street 1:1404 NATIONAL HWY
Practice Address - Street 2:RITE AID 11345
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360
Practice Address - Country:US
Practice Address - Phone:336-887-4927
Practice Address - Fax:336-887-4932
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-15
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20067183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist