MEDICARE: NALINI M PATEL RPH

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
1	183500000X	Pharmacist	47722	TN

General Provider Information

NPI Number	:	1144085960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NALINI M PATEL RPH

Provider Business Mailing Address
First Line	:	4872 VALLEY VON WAY
Second Line	:
City	:	BARTLETT
State	:	TN
Zip	:	38002-7508
Country	:	US
Telephone Number	:	940-224-7977
Fax Number	:

Provider Business Practice Location Address
First Line	:	4872 VALLEY VON WAY
Second Line	:
City	:	BARTLETT
State	:	TN
Zip	:	38002-7508
Country	:	US
Telephone Number	:	940-224-7977
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2024
Last Update Date	:	02/20/2024

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