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NPI Code Detail

MEDICARE: PRAGNESH DESAI RPH

MEDICARE:   PRAGNESH  DESAI  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
1183500000XPharmacistRP443355PA

General Provider Information

NPI Number : 1821401472
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRAGNESH DESAI RPH
Provider Business Mailing Address
First Line : 207 HARLEY CT
Second Line :
City : NORTH WALES
State : PA
Zip : 19454-1614
Country : US
Telephone Number : 215-997-1270
Fax Number :
Provider Business Practice Location Address
First Line : 1307 PHOENIXVILLE PIKE
Second Line :
City : WEST CHESTER
State : PA
Zip : 19380-1435
Country : US
Telephone Number : 484-356-9330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2014
Last Update Date : 06/10/2014

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