Provider Demographics
NPI:1902863830
Name:AMIN, KIRIT NAGINBHAI (RPH)
Entity Type:Individual
Prefix:MR
First Name:KIRIT
Middle Name:NAGINBHAI
Last Name:AMIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:DR
Other - First Name:KIRITKUMAR
Other - Middle Name:N
Other - Last Name:AMIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:10703 LISA MARIE CT
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63123-6122
Mailing Address - Country:US
Mailing Address - Phone:314-843-1812
Mailing Address - Fax:
Practice Address - Street 1:915 N GRAND BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63106-1621
Practice Address - Country:US
Practice Address - Phone:314-289-6339
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY20033183183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist