Provider Demographics
NPI:1881299170
Name:DHOLARIA, MOHIT KESHUBHAI (PHARMD)
Entity type:Individual
Prefix:
First Name:MOHIT
Middle Name:KESHUBHAI
Last Name:DHOLARIA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2532 OAKLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76103-3235
Mailing Address - Country:US
Mailing Address - Phone:817-945-5405
Mailing Address - Fax:817-945-5554
Practice Address - Street 1:2532 OAKLAND BLVD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76103-3235
Practice Address - Country:US
Practice Address - Phone:817-945-5405
Practice Address - Fax:817-945-5554
Is Sole Proprietor?:No
Enumeration Date:2020-12-03
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX57370183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist