Provider Demographics
NPI:1306024591
Name:GANDHI, PALLAVI R (MS IN PHARMACY)
Entity type:Individual
Prefix:MRS
First Name:PALLAVI
Middle Name:R
Last Name:GANDHI
Suffix:
Gender:F
Credentials:MS IN PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 MARSHALL CT
Mailing Address - Street 2:
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-2339
Mailing Address - Country:US
Mailing Address - Phone:609-275-0382
Mailing Address - Fax:
Practice Address - Street 1:440 ROUTE 130
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-2787
Practice Address - Country:US
Practice Address - Phone:609-918-0511
Practice Address - Fax:609-918-0510
Is Sole Proprietor?:No
Enumeration Date:2008-02-10
Last Update Date:2008-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02517200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ28RI02517200OtherRPH STATE LICENCE