Provider Demographics
NPI:1588320618
Name:GANDHI, CHINTANKUMAR (PHARMACIST)
Entity type:Individual
Prefix:
First Name:CHINTANKUMAR
Middle Name:
Last Name:GANDHI
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1B COMMONS DR UNIT 10
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-3442
Mailing Address - Country:US
Mailing Address - Phone:603-314-8387
Mailing Address - Fax:
Practice Address - Street 1:1B COMMONS DR UNIT 10
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3442
Practice Address - Country:US
Practice Address - Phone:603-314-8387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-12
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHPHCY-00975183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist