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General NPI Number Information
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NPI Number | 1467303065
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Entity Type | Organization
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Legal Business Name | RUDRAKSH PHARMACY LLC
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 1341 NORMANDY LN
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City | BARTLETT
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State | IL
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Zip | 60103-8964
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Country | US
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Telephone | 586-864-0231
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Fax |
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Provider Business Mailing Address
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Address Line | 1341 NORMANDY LN
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City | BARTLETT
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State | IL
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Zip | 60103-8964
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Country | US
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Telephone | 586-864-0231
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. GAURANG PATEL
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Credential | RPH
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Telephone | 586-864-0231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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