Provider Demographics
NPI:1881308542
Name:DHANANTWARI, SHARMELEE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SHARMELEE
Middle Name:
Last Name:DHANANTWARI
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 1:258 CEDARBRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-4265
Mailing Address - Country:US
Mailing Address - Phone:732-942-1212
Mailing Address - Fax:732-942-1224
Practice Address - Street 1:258 CEDARBRIDGE AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-4265
Practice Address - Country:US
Practice Address - Phone:732-942-1212
Practice Address - Fax:732-942-1224
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03024200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist