Provider Demographics
NPI:1588334700
Name:MALHOTRA, RITU (PHARMD)
Entity type:Individual
Prefix:
First Name:RITU
Middle Name:
Last Name:MALHOTRA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 COPPERWOOD LN
Mailing Address - Street 2:
Mailing Address - City:CERES
Mailing Address - State:CA
Mailing Address - Zip Code:95307-7199
Mailing Address - Country:US
Mailing Address - Phone:209-602-1266
Mailing Address - Fax:
Practice Address - Street 1:1101 SANGUINETTI RD
Practice Address - Street 2:
Practice Address - City:SONORA
Practice Address - State:CA
Practice Address - Zip Code:95370-6214
Practice Address - Country:US
Practice Address - Phone:209-533-2617
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-18
Last Update Date:2021-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA85228183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist