Provider Demographics
NPI:1811270994
Name:PARIKH, NIRALI MANOJ (PHARMD)
Entity type:Individual
Prefix:
First Name:NIRALI
Middle Name:MANOJ
Last Name:PARIKH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:690 E STREET RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHHAMPTOM
Mailing Address - State:PA
Mailing Address - Zip Code:18974-1909
Mailing Address - Country:US
Mailing Address - Phone:267-402-7332
Mailing Address - Fax:
Practice Address - Street 1:690 E STREET RD
Practice Address - Street 2:
Practice Address - City:SOUTHHAMPTOM
Practice Address - State:PA
Practice Address - Zip Code:18974-1909
Practice Address - Country:US
Practice Address - Phone:267-402-7332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-24
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP442766183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist