Provider Demographics
NPI:1023135472
Name:ROY, DEBASHISH (PHARMACIST)
Entity type:Individual
Prefix:
First Name:DEBASHISH
Middle Name:
Last Name:ROY
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 1:7530 ROSWELL RD
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30350-4837
Mailing Address - Country:US
Mailing Address - Phone:787-319-2356
Mailing Address - Fax:678-731-9476
Practice Address - Street 1:7530 ROSWELL RD
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30350-4837
Practice Address - Country:US
Practice Address - Phone:678-731-7235
Practice Address - Fax:678-731-9476
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2022-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH022167183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist