Provider Demographics
NPI:1932657293
Name:PIRACHA, FAWAD (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:FAWAD
Middle Name:
Last Name:PIRACHA
Suffix:
Gender:M
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:PO BOX 340
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-0340
Mailing Address - Country:US
Mailing Address - Phone:914-715-1149
Mailing Address - Fax:914-740-7671
Practice Address - Street 1:3 QUAKER RIDGE RD
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10804-2807
Practice Address - Country:US
Practice Address - Phone:914-715-1149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-15
Last Update Date:2017-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY062356183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist