MEDICARE: DR. RAKHEE 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	PS43358	FL
2	183500000X	Pharmacist	051041071	IL

General Provider Information

NPI Number	:	1386032100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAKHEE PATEL PHARMD

Provider Business Mailing Address
First Line	:	20410 LACE CASCADE RD
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34637-5807
Country	:	US
Telephone Number	:	847-340-0900
Fax Number	:

Provider Business Practice Location Address
First Line	:	20410 LACE CASCADE RD
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34637-5807
Country	:	US
Telephone Number	:	847-340-0900
Fax Number	:

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

Provider Enumeration Date	:	12/31/2014
Last Update Date	:	12/31/2014

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