MEDICARE: SONALI TEJANI PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RPH027619	GA
2	183500000X	Pharmacist	S020164	AZ
3	183500000X	Pharmacist	25200	NC

General Provider Information

NPI Number	:	1922478510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONALI TEJANI PHARMD

Provider Business Mailing Address
First Line	:	8322 PINEVILLE MATTHEWS RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-4707
Country	:	US
Telephone Number	:	704-496-5227
Fax Number	:

Provider Business Practice Location Address
First Line	:	8322 PINEVILLE MATTHEWS RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-4707
Country	:	US
Telephone Number	:	704-496-5227
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2015
Last Update Date	:	10/22/2024

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