Provider Demographics
NPI:1891454716
Name:ROSHANGER, NADIA DADRAS (PHARMD)
Entity Type:Individual
Prefix:
First Name:NADIA
Middle Name:DADRAS
Last Name:ROSHANGER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2017 S OCEAN DR APT 1403W
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-6654
Mailing Address - Country:US
Mailing Address - Phone:904-887-0337
Mailing Address - Fax:
Practice Address - Street 1:2017 S OCEAN DR APT 1403W
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-6654
Practice Address - Country:US
Practice Address - Phone:904-887-0337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-08
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS63439183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist