MEDICARE: RITESH PATEL 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
1	183500000X	Pharmacist	40976	TX

General Provider Information

NPI Number	:	1164717906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RITESH PATEL PHARMD

Provider Business Mailing Address
First Line	:	4444 W JEFFERSON BLVD
Second Line	:	STE 614
City	:	DALLAS
State	:	TX
Zip	:	75211-4600
Country	:	US
Telephone Number	:	214-613-1111
Fax Number	:	214-467-7112

Provider Business Practice Location Address
First Line	:	4444 W JEFFERSON BLVD
Second Line	:	STE 614
City	:	DALLAS
State	:	TX
Zip	:	75211-4600
Country	:	US
Telephone Number	:	214-613-1111
Fax Number	:	214-467-7112

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

Provider Enumeration Date	:	06/09/2011
Last Update Date	:	06/10/2011

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Directions to “ RITESH PATEL PHARMD” Practice Location

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