MEDICARE: MR. ALPESH K PATEL PHARMACIST

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	5302036269	MI

General Provider Information

NPI Number	:	1831466218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALPESH K PATEL PHARMACIST

Provider Business Mailing Address
First Line	:	2655 CABANA ROAD WEST
Second Line	:
City	:	WINDSOR
State	:	ONTARIO
Zip	:	N9G1E7
Country	:	CA
Telephone Number	:	519-258-4342
Fax Number	:

Provider Business Practice Location Address
First Line	:	25015 LITTLE MACK AVE
Second Line	:
City	:	SAINT CLAIR SHORES
State	:	MI
Zip	:	48080-3220
Country	:	US
Telephone Number	:	585-498-9540
Fax Number	:

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

Provider Enumeration Date	:	11/29/2011
Last Update Date	:	11/29/2011

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