Provider Demographics
NPI:1104913490
Name:SONI, NIRALI VINESH (PHARM D)
Entity type:Individual
Prefix:
First Name:NIRALI
Middle Name:VINESH
Last Name:SONI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5420 W MURIEL DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-5380
Mailing Address - Country:US
Mailing Address - Phone:623-521-5867
Mailing Address - Fax:602-441-3934
Practice Address - Street 1:20100 N 51ST AVE
Practice Address - Street 2:SUITE #F640
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-5125
Practice Address - Country:US
Practice Address - Phone:623-521-5867
Practice Address - Fax:602-441-3934
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ11205183500000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy