Healthcare Provider Details

I. General information

NPI: 1003943507
Provider Name (Legal Business Name): AMI PARIKH RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SUNNYSIDE RD
SMYRNA DE
19977-1752
US

IV. Provider business mailing address

21 SHANE CIR
BEAR DE
19701-6351
US

V. Phone/Fax

Practice location:
  • Phone: 302-223-1370
  • Fax: 302-653-0506
Mailing address:
  • Phone: 302-836-3881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberA1-0002767
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: