Provider Demographics
NPI:1053712638
Name:DESAI, ARPAN (PHARMACIST, RPH)
Entity type:Individual
Prefix:MR
First Name:ARPAN
Middle Name:
Last Name:DESAI
Suffix:
Gender:M
Credentials:PHARMACIST, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N COOPER DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27536-4016
Mailing Address - Country:US
Mailing Address - Phone:252-438-9096
Mailing Address - Fax:
Practice Address - Street 1:200 N COOPER DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536-4016
Practice Address - Country:US
Practice Address - Phone:252-438-9096
Practice Address - Fax:252-433-0576
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-15
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19137183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist