Provider Demographics
NPI:1841514825
Name:THAKKAR, NALEEN RAMJIBHAI (RPH)
Entity type:Individual
Prefix:MR
First Name:NALEEN
Middle Name:RAMJIBHAI
Last Name:THAKKAR
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 E TREMONT AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-4801
Mailing Address - Country:US
Mailing Address - Phone:718-466-5695
Mailing Address - Fax:718-466-0539
Practice Address - Street 1:621 E TREMONT AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-4801
Practice Address - Country:US
Practice Address - Phone:718-466-5695
Practice Address - Fax:718-466-0539
Is Sole Proprietor?:No
Enumeration Date:2010-03-20
Last Update Date:2010-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040916183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist