Provider Demographics
NPI:1972982296
Name:SHETA, ROHIT (RPH)
Entity Type:Individual
Prefix:
First Name:ROHIT
Middle Name:
Last Name:SHETA
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 1:8642 HARVEST PL
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-0304
Mailing Address - Country:US
Mailing Address - Phone:626-391-5775
Mailing Address - Fax:
Practice Address - Street 1:8642 HARVEST PL
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-0304
Practice Address - Country:US
Practice Address - Phone:626-391-5775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-19
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56550183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist