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NPI Code Detail

MEDICARE: DIVYESH N PATEL RPH

MEDICARE: DIVYESH N PATEL RPH
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
1183500000XPharmacist61362TX

General Provider Information

NPI Number : 1598282733
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIVYESH N PATEL RPH
Provider Business Mailing Address
First Line : 8875 HIGHWAY 279
Second Line :
City : BROWNWOOD
State : TX
Zip : 76801-0012
Country : US
Telephone Number : 843-337-7818
Fax Number :
Provider Business Practice Location Address
First Line : 200 W COMMERCE ST
Second Line :
City : BROWNWOOD
State : TX
Zip : 76801-1806
Country : US
Telephone Number : 325-646-8923
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2017
Last Update Date : 08/28/2017

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