Provider Demographics
NPI:1699074161
Name:NARECHANIA, TEJAS NIRMALKUMAR (PHARMACIST)
Entity type:Individual
Prefix:
First Name:TEJAS
Middle Name:NIRMALKUMAR
Last Name:NARECHANIA
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 1:5235 LOCKABER AVE UNIT 4
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17202-7361
Mailing Address - Country:US
Mailing Address - Phone:201-595-9356
Mailing Address - Fax:
Practice Address - Street 1:5035 LINCOLN WAY E
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:PA
Practice Address - Zip Code:17222-1045
Practice Address - Country:US
Practice Address - Phone:717-352-3850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-22
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP443361183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist