IndividualActive
Soham Dewashrayee
NPI 1346833282 · Geriatric Pharmacist · Chicago, IL
Provider details
- NPI number
- 1346833282
- Entity type
- Individual
- Primary specialty
- Geriatric PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 051289860 (IL)
Mailing address
4201 W Victoria St
Chicago, IL 60646-6700
Registry dates
- Enumerated
- 2021-02-11
- Last updated
- 2021-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.