Provider Demographics
NPI:1154932515
Name:GANDHI, RIPAL AMRATLAL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RIPAL
Middle Name:AMRATLAL
Last Name:GANDHI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4504 ILLINOIS ST
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-3309
Mailing Address - Country:US
Mailing Address - Phone:972-979-8745
Mailing Address - Fax:
Practice Address - Street 1:100 N 32ND ST
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74401-2101
Practice Address - Country:US
Practice Address - Phone:918-687-1319
Practice Address - Fax:918-687-3440
Is Sole Proprietor?:No
Enumeration Date:2020-08-10
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK18716183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist