Roy Mahesh
Pharmacist in Ridgewood, NY. Individual provider (NPI-1).
NPI number1003092016
StatusActive
Last updated in NPPESJul 14, 2022
Details
- NPI
- 1003092016
- Entity type
- Individual (NPI-1)
- Name
- Roy Mahesh
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 21, 2008
- Certification date
- Jul 6, 2022
- Last updated
- Jul 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 046165 | NY | Yes |
Practice location
6032 Fresh Pond RoadRidgewood, NY 11385
Phone 718-304-9764
Mailing address
6632 Fresh Pond RdRidgewood, NY 11385-3305
Phone 718-304-9764
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