MEDICARE: JUHEE 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	RPH033288	GA

General Provider Information

NPI Number	:	1568194934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUHEE PATEL PHARMD

Provider Business Mailing Address
First Line	:	51 E PAULDING DR
Second Line	:
City	:	DALLAS
State	:	GA
Zip	:	30157-7190
Country	:	US
Telephone Number	:	770-505-5838
Fax Number	:

Provider Business Practice Location Address
First Line	:	51 E PAULDING DR
Second Line	:
City	:	DALLAS
State	:	GA
Zip	:	30157-7190
Country	:	US
Telephone Number	:	770-505-5838
Fax Number	:

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

Provider Enumeration Date	:	06/25/2022
Last Update Date	:	06/25/2022

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Directions to “ JUHEE PATEL PHARMD” Practice Location

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