Provider Demographics
NPI:1942922356
Name:PARIKH, DHARMESH P (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:DHARMESH
Middle Name:P
Last Name:PARIKH
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WHARTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07885-2220
Mailing Address - Country:US
Mailing Address - Phone:862-397-3133
Mailing Address - Fax:862-397-3137
Practice Address - Street 1:22 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:NJ
Practice Address - Zip Code:07885-2220
Practice Address - Country:US
Practice Address - Phone:862-397-3133
Practice Address - Fax:862-397-3137
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02078600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist