Provider Demographics
NPI:1841580073
Name:HARVEY, KETAL KHARVA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:KETAL
Middle Name:KHARVA
Last Name:HARVEY
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 1:744 HUNTER ST
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-1326
Mailing Address - Country:US
Mailing Address - Phone:919-303-7125
Mailing Address - Fax:919-303-1627
Practice Address - Street 1:744 HUNTER ST
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-1326
Practice Address - Country:US
Practice Address - Phone:919-303-7125
Practice Address - Fax:919-303-1627
Is Sole Proprietor?:No
Enumeration Date:2011-04-08
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13074183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist