Chaudhari, Mahendra J

Chaudhari, Mahendra J is an sole proprietor health care provider with primary practice located at 18911 S Tamiami Trl Ste 13 , Fort Myers FL 33908-4739. He recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is his primary health care specialty. Chaudhari, Mahendra J can be contacted via phone (239) 658-1048.

Contact Information

Primary practice address
18911 S Tamiami Trl Ste 13 Fort Myers FL 33908-4739
Phone: (239) 658-1048
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PH29777 Florida
Suppliers / Long Term Care Pharmacy 3336L0003X PS51153 Florida
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 28RI02630200 New Jersey

Profile Details

NPI number 1891923355
LBN Legal business name Chaudhari, Mahendra J
Credentials RPH, CCP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2009
Last updated Jul 29th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891923355 NPPES
Florida Other 10D2186868 CLIA WAIVER CERTIFICATION
Florida Other 1073903233 CLIA WAIVER CERTIFICATION
Florida Other 1891152989 CLIA WAIVER CERTIFICATION

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