Provider Demographics
NPI:1386898906
Name:PARUCHURI, HIMAJA (RPH)
Entity type:Individual
Prefix:MRS
First Name:HIMAJA
Middle Name:
Last Name:PARUCHURI
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 1:1508 HAINES RD
Mailing Address - Street 2:WINDSOR PHARMACY
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19055-1802
Mailing Address - Country:US
Mailing Address - Phone:215-945-1125
Mailing Address - Fax:215-945-2818
Practice Address - Street 1:1508 HAINES RD
Practice Address - Street 2:WINDSOR PHARMACY
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19055-1802
Practice Address - Country:US
Practice Address - Phone:215-945-1125
Practice Address - Fax:215-945-2818
Is Sole Proprietor?:No
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP045620L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist