Healthcare Provider Details

I. General information

NPI: 1437430949
Provider Name (Legal Business Name): PRAHLADBHAI PRAJAPATI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2011
Last Update Date: 08/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2012 NORTH MAIN STREET
HIGHPOINT NC
27262-0000
US

IV. Provider business mailing address

2012 NORTH MAIN STREET
HIGHPOINT NC
27262-0000
US

V. Phone/Fax

Practice location:
  • Phone: 717-975-5937
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number7376
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: