Provider Demographics
NPI:1801345301
Name:SOJITRA, NANDALAL PRAGJIBHAI (PHARMACIST)
Entity type:Individual
Prefix:
First Name:NANDALAL
Middle Name:PRAGJIBHAI
Last Name:SOJITRA
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7906 N MACARTHUR BLVD APT 3012
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-3719
Mailing Address - Country:US
Mailing Address - Phone:646-637-3339
Mailing Address - Fax:
Practice Address - Street 1:7906 N MACARTHUR BLVD APT 3012
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-3719
Practice Address - Country:US
Practice Address - Phone:646-637-3339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-25
Last Update Date:2016-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX59548183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist