MEDICARE: DR. CHIRAYU DINESH PUROHIT PHARM.D.

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	14794	AL

General Provider Information

NPI Number	:	1255333654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHIRAYU DINESH PUROHIT PHARM.D.

Provider Business Mailing Address
First Line	:	2914 SUMMIT PL
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35243-3152
Country	:	US
Telephone Number	:	205-249-3630
Fax Number	:	205-956-3912

Provider Business Practice Location Address
First Line	:	5401 BEACON DR
Second Line	:
City	:	IRONDALE
State	:	AL
Zip	:	35210-2859
Country	:	US
Telephone Number	:	205-951-0355
Fax Number	:	205-956-3912

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

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	07/08/2007

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