Provider Demographics
NPI:1669913109
Name:DALAL, RUPALI (RPH)
Entity type:Individual
Prefix:MRS
First Name:RUPALI
Middle Name:
Last Name:DALAL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:953 VALENCIA AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-2966
Mailing Address - Country:US
Mailing Address - Phone:818-687-5648
Mailing Address - Fax:
Practice Address - Street 1:953 VALENCIA AVE
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-2966
Practice Address - Country:US
Practice Address - Phone:818-687-5648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-16
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61169183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist