Healthcare Provider Details

I. General information

NPI: 1710373741
Provider Name (Legal Business Name): RANJNA KUTWAL-SHARMA RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2015
Last Update Date: 04/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7901 BROADWAY ELMHURST HOSPITAL, PHARMACY DEPARTMENT
ELMHURST NY
11373-1329
US

IV. Provider business mailing address

7901 BROADWAY ELMHURST HOSPITAL, PHARMACY DEPARTMENT
ELMHURST NY
11373-1329
US

V. Phone/Fax

Practice location:
  • Phone: 718-334-2425
  • Fax:
Mailing address:
  • Phone: 718-334-2425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number514327
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: