Provider Demographics
NPI:1245513654
Name:HIRALAL, ASHMITA (PHARM D)
Entity type:Individual
Prefix:
First Name:ASHMITA
Middle Name:
Last Name:HIRALAL
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7878 CRESCENT AVE
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-3950
Mailing Address - Country:US
Mailing Address - Phone:714-226-0238
Mailing Address - Fax:
Practice Address - Street 1:7878 CRESCENT AVE
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90620-3950
Practice Address - Country:US
Practice Address - Phone:714-226-0238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58235183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist