Provider Demographics
NPI:1699114744
Name:PRAGJI, DIPA (RPH)
Entity type:Individual
Prefix:MS
First Name:DIPA
Middle Name:
Last Name:PRAGJI
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 1:616 ROANOKE DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-2992
Mailing Address - Country:US
Mailing Address - Phone:972-697-7981
Mailing Address - Fax:
Practice Address - Street 1:616 ROANOKE DR
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-2992
Practice Address - Country:US
Practice Address - Phone:972-697-7981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-21
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34032183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist