MEDICARE: NILPA PATEL 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	0202209015	VA

General Provider Information

NPI Number	:	1407133283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NILPA PATEL PHARM D

Provider Business Mailing Address
First Line	:	6100 ARLINGTON BLVD
Second Line	:	T-1431
City	:	FALLS CHURCH
State	:	VA
Zip	:	22044-2901
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6100 ARLINGTON BLVD
Second Line	:	T-1431
City	:	FALLS CHURCH
State	:	VA
Zip	:	22044-2901
Country	:	US
Telephone Number	:	703-237-8627
Fax Number	:	703-237-8627

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

Provider Enumeration Date	:	11/08/2011
Last Update Date	:	11/08/2011

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