Provider Demographics
NPI:1205929551
Name:SHETH, TEJAS P (RPH)
Entity type:Individual
Prefix:
First Name:TEJAS
Middle Name:P
Last Name:SHETH
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 1:207 SAINT JONES AVE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-5276
Mailing Address - Country:US
Mailing Address - Phone:302-735-1515
Mailing Address - Fax:302-422-1075
Practice Address - Street 1:10 SE FRONT ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1942
Practice Address - Country:US
Practice Address - Phone:302-422-3351
Practice Address - Fax:302-422-1075
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0003372183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist