Provider Demographics
NPI:1821412180
Name:MAGANLAL, NARESH (RPH)
Entity Type:Individual
Prefix:MR
First Name:NARESH
Middle Name:
Last Name:MAGANLAL
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 1:3350 LA SIERRA AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-5228
Mailing Address - Country:US
Mailing Address - Phone:951-637-9819
Mailing Address - Fax:951-637-9858
Practice Address - Street 1:3350 LA SIERRA AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-5228
Practice Address - Country:US
Practice Address - Phone:951-637-9819
Practice Address - Fax:951-637-9858
Is Sole Proprietor?:No
Enumeration Date:2014-02-06
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47761183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist