Provider Demographics
NPI:1124452552
Name:MORAR, SHARDA (RPH)
Entity type:Individual
Prefix:
First Name:SHARDA
Middle Name:
Last Name:MORAR
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5213 WATERS ACE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615
Mailing Address - Country:US
Mailing Address - Phone:813-490-5420
Mailing Address - Fax:813-490-5423
Practice Address - Street 1:8213 W WATERS AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-1822
Practice Address - Country:US
Practice Address - Phone:813-490-5420
Practice Address - Fax:813-490-5423
Is Sole Proprietor?:No
Enumeration Date:2013-08-21
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS22186183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist