Provider Demographics
NPI:1780985804
Name:ASHAR, PANKAJ A
Entity type:Individual
Prefix:
First Name:PANKAJ
Middle Name:A
Last Name:ASHAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5431 CLAYTON RD
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:CA
Mailing Address - Zip Code:94517-1039
Mailing Address - Country:US
Mailing Address - Phone:925-672-2107
Mailing Address - Fax:925-672-2152
Practice Address - Street 1:5431 CLAYTON RD
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:CA
Practice Address - Zip Code:94517-1039
Practice Address - Country:US
Practice Address - Phone:925-672-2107
Practice Address - Fax:925-672-2152
Is Sole Proprietor?:No
Enumeration Date:2010-11-05
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45872183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist