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NPI Code Detail

MEDICARE: JAGRUTI PATEL

MEDICARE: JAGRUTI PATEL
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
1183500000XPharmacist5302035871MI

General Provider Information

NPI Number : 1174809925
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAGRUTI PATEL
Provider Business Mailing Address
First Line : 5991 BECKLEY RD
Second Line :
City : BATTLE CREEK
State : MI
Zip : 49014-8386
Country : US
Telephone Number : 269-779-6449
Fax Number : 269-779-6449
Provider Business Practice Location Address
First Line : 5991 BECKLEY RD
Second Line :
City : BATTLE CREEK
State : MI
Zip : 49014-8386
Country : US
Telephone Number : 269-779-6449
Fax Number : 269-979-5671
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2011
Last Update Date : 10/25/2011

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Directions to “ JAGRUTI PATEL ” Practice Location

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