Provider Demographics
NPI:1316493034
Name:DHARIA, MOHIL (RPH)
Entity type:Individual
Prefix:
First Name:MOHIL
Middle Name:
Last Name:DHARIA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6928 SW 39TH STREET APT 102
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-4805
Mailing Address - Country:US
Mailing Address - Phone:631-703-1077
Mailing Address - Fax:
Practice Address - Street 1:2920 DAVIE ROAD
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33314-4805
Practice Address - Country:US
Practice Address - Phone:954-584-8059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS55156183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist