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NPI Code Detail

MEDICARE: SHALITA R LOKHNATH PHARM.D

MEDICARE:   SHALITA R LOKHNATH  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
1183500000XPharmacist22043NC

General Provider Information

NPI Number : 1417239849
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHALITA R LOKHNATH PHARM.D
Provider Business Mailing Address
First Line : 4701 SOUTH BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28217-2117
Country : US
Telephone Number : 704-523-3227
Fax Number :
Provider Business Practice Location Address
First Line : 4701 SOUTH BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28217-2117
Country : US
Telephone Number : 704-523-3227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2011
Last Update Date : 11/29/2016

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Directions to “ SHALITA R LOKHNATH PHARM.D” Practice Location

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