Provider Demographics
NPI:1790882082
Name:PARIKH, ANKURKUMAR ASHOKKUMAR (RPH)
Entity Type:Individual
Prefix:MR
First Name:ANKURKUMAR
Middle Name:ASHOKKUMAR
Last Name:PARIKH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 CULLAIG CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32259-7279
Mailing Address - Country:US
Mailing Address - Phone:904-386-6785
Mailing Address - Fax:904-880-4445
Practice Address - Street 1:5547 NORMANDY BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32205-6246
Practice Address - Country:US
Practice Address - Phone:904-374-2692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS36320183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist