Provider Demographics
NPI:1144493958
Name:LAD, NEETABEN B (RPH)
Entity type:Individual
Prefix:
First Name:NEETABEN
Middle Name:B
Last Name:LAD
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 1:942 W STREET RD
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-3124
Mailing Address - Country:US
Mailing Address - Phone:610-313-5507
Mailing Address - Fax:610-313-4190
Practice Address - Street 1:942 W STREET RD
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-3124
Practice Address - Country:US
Practice Address - Phone:215-328-4707
Practice Address - Fax:215-328-8190
Is Sole Proprietor?:No
Enumeration Date:2008-04-12
Last Update Date:2008-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP041582L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist