Provider Demographics
NPI:1457698516
Name:GANDHI, BINA B (MPHARM)
Entity Type:Individual
Prefix:
First Name:BINA
Middle Name:B
Last Name:GANDHI
Suffix:
Gender:F
Credentials:MPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 BARRETT PKWY
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-3300
Mailing Address - Country:US
Mailing Address - Phone:770-419-4049
Mailing Address - Fax:770-419-3973
Practice Address - Street 1:50 BARRETT PKWY
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-3300
Practice Address - Country:US
Practice Address - Phone:770-419-4049
Practice Address - Fax:770-419-3973
Is Sole Proprietor?:No
Enumeration Date:2013-01-09
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA016022183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist