Provider Demographics
NPI:1184326704
Name:MEAD, SHREEYA KHURANA (PHARMD)
Entity type:Individual
Prefix:
First Name:SHREEYA
Middle Name:KHURANA
Last Name:MEAD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SHREEYA
Other - Middle Name:SHANI
Other - Last Name:KHURANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:370 FRONT ST UNIT 402
Mailing Address - Street 2:
Mailing Address - City:NORTH AUGUSTA
Mailing Address - State:SC
Mailing Address - Zip Code:29841-4382
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1100 REVOLUTION MILL DR STE 10
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-5067
Practice Address - Country:US
Practice Address - Phone:336-285-7985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC42624183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist