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NPI Code Detail

MEDICARE: JIGNA MEHTA PHARMD

MEDICARE: JIGNA MEHTA PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist1-16291KS
2183500000XPharmacistPH234867MA

General Provider Information

NPI Number : 1043646680
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIGNA MEHTA PHARMD
Provider Business Mailing Address
First Line : 49 HIGH ST
Second Line :
City : WALTHAM
State : MA
Zip : 02453-0543
Country : US
Telephone Number : 781-985-2397
Fax Number :
Provider Business Practice Location Address
First Line : 399 WASHINGTON ST
Second Line :
City : NEWTON
State : MA
Zip : 02458-1536
Country : US
Telephone Number : 617-658-6421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2013
Last Update Date : 08/13/2021

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Directions to “ JIGNA MEHTA PHARMD” Practice Location

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