MEDICARE: ARATHI SRINIVAS SHROFF 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	16612	AL

General Provider Information

NPI Number	:	1568755601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARATHI SRINIVAS SHROFF PHARMD

Provider Business Mailing Address
First Line	:	3661 AIRPORT BLVD APT 68
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36608-1641
Country	:	US
Telephone Number	:	334-221-9041
Fax Number	:

Provider Business Practice Location Address
First Line	:	3055 DAUPHIN ST
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36606-4040
Country	:	US
Telephone Number	:	251-479-9486
Fax Number	:

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

Provider Enumeration Date	:	05/24/2011
Last Update Date	:	05/24/2011

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