Provider Demographics
NPI:1801265905
Name:PRAJAPATI, NARESH G (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:NARESH
Middle Name:G
Last Name:PRAJAPATI
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:MR
Other - First Name:NARESH
Other - Middle Name:G
Other - Last Name:PRAJAPATI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMACIST
Mailing Address - Street 1:3023 US HIGHWAY 27 N
Mailing Address - Street 2:BENZER PHARMACY
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-1630
Mailing Address - Country:US
Mailing Address - Phone:863-471-0007
Mailing Address - Fax:863-658-2417
Practice Address - Street 1:3023 US HIGHWAY 27 N # THN
Practice Address - Street 2:SEBRING PHARMACY
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-1630
Practice Address - Country:US
Practice Address - Phone:863-471-0007
Practice Address - Fax:863-658-2417
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-18
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS52826183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPS52826OtherPHARMACIST