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NPI Code Detail

MEDICARE: JAYSHUL PATEL PHARMD

MEDICARE: JAYSHUL 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
1183500000XPharmacist53739TX

General Provider Information

NPI Number : 1225461882
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYSHUL PATEL PHARMD
Provider Business Mailing Address
First Line : 8787 SIENNA SPRINGS BLVD
Second Line : APT 835
City : MISSOURI CITY
State : TX
Zip : 77459-6064
Country : US
Telephone Number : 772-342-0206
Fax Number :
Provider Business Practice Location Address
First Line : 12225 HIGHWAY 6
Second Line :
City : FRESNO
State : TX
Zip : 77545-8805
Country : US
Telephone Number : 281-431-4248
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2013
Last Update Date : 08/18/2013

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Directions to “ JAYSHUL PATEL PHARMD” Practice Location

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