Provider Demographics
NPI:1285991000
Name:BHAKTA, DARSHAN SATISH (PHARM D)
Entity type:Individual
Prefix:MR
First Name:DARSHAN
Middle Name:SATISH
Last Name:BHAKTA
Suffix:
Gender:M
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 1:8540 RAVILLER DR
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-3310
Mailing Address - Country:US
Mailing Address - Phone:949-929-6933
Mailing Address - Fax:909-301-0110
Practice Address - Street 1:436 S RIVERSIDE AVE
Practice Address - Street 2:
Practice Address - City:RIALTO
Practice Address - State:CA
Practice Address - Zip Code:92376-6523
Practice Address - Country:US
Practice Address - Phone:909-961-2288
Practice Address - Fax:909-301-0110
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-18
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57950183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist