Provider Demographics
NPI:1831481951
Name:HASALIA, PREETI SUDHIR (RPH)
Entity Type:Individual
Prefix:MRS
First Name:PREETI
Middle Name:SUDHIR
Last Name:HASALIA
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 1:171 HUNTLY LN
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28115-3456
Mailing Address - Country:US
Mailing Address - Phone:704-682-8978
Mailing Address - Fax:
Practice Address - Street 1:431 PENINSULA DR
Practice Address - Street 2:
Practice Address - City:DAVIDSON
Practice Address - State:NC
Practice Address - Zip Code:28036-7060
Practice Address - Country:US
Practice Address - Phone:704-892-5814
Practice Address - Fax:704-896-9826
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-08
Last Update Date:2011-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12871183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist