Provider Demographics
NPI:1801490305
Name:DOSHI, PRITI R (RPH)
Entity type:Individual
Prefix:
First Name:PRITI
Middle Name:R
Last Name:DOSHI
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 1:4860 STONE MOUNTAIN HWY
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-4618
Mailing Address - Country:US
Mailing Address - Phone:770-972-2846
Mailing Address - Fax:770-978-4637
Practice Address - Street 1:2732 PINEBLOOM WAY
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-4094
Practice Address - Country:US
Practice Address - Phone:678-386-3902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH022435183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist