Provider Demographics
NPI:1124309539
Name:VALLABH, MEERA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MEERA
Middle Name:
Last Name:VALLABH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1179 TALL GRASS CIR APT 310
Mailing Address - Street 2:
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-6945
Mailing Address - Country:US
Mailing Address - Phone:330-814-1385
Mailing Address - Fax:
Practice Address - Street 1:3009 W MARKET ST
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3610
Practice Address - Country:US
Practice Address - Phone:330-867-1946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03329029183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist