Provider Demographics
NPI:1851904825
Name:MOVALIYA, NIKUNJKUMAR R (PHARM D)
Entity Type:Individual
Prefix:
First Name:NIKUNJKUMAR
Middle Name:R
Last Name:MOVALIYA
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 S UNIVERSITY DR APT 321
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-1467
Mailing Address - Country:US
Mailing Address - Phone:845-512-9278
Mailing Address - Fax:
Practice Address - Street 1:2600 S UNIVERSITY DR APT 321
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-1467
Practice Address - Country:US
Practice Address - Phone:845-512-9278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL61118183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist