Provider Demographics
NPI:1932710613
Name:MAKADIA, RUCHITA KRUNALKUMAR (PHARM D)
Entity Type:Individual
Prefix:
First Name:RUCHITA
Middle Name:KRUNALKUMAR
Last Name:MAKADIA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4899 NW BLITCHTON RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34482-8743
Mailing Address - Country:US
Mailing Address - Phone:352-622-8753
Mailing Address - Fax:352-622-8930
Practice Address - Street 1:4899 NW BLITCHTON RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34482-8743
Practice Address - Country:US
Practice Address - Phone:352-622-8753
Practice Address - Fax:352-622-8930
Is Sole Proprietor?:No
Enumeration Date:2020-08-14
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS55409183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist