Provider Demographics
NPI:1942453873
Name:INAMDAR, ANUP (RPH)
Entity Type:Individual
Prefix:MR
First Name:ANUP
Middle Name:
Last Name:INAMDAR
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3435 N FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-6605
Mailing Address - Country:US
Mailing Address - Phone:954-781-0442
Mailing Address - Fax:954-781-8595
Practice Address - Street 1:3435 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-6605
Practice Address - Country:US
Practice Address - Phone:954-781-0442
Practice Address - Fax:954-781-8595
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-23
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS34114183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist