MEDICARE: SHEKHA DASHRATH 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
1	183500000X	Pharmacist	RPH60337	CA

General Provider Information

NPI Number	:	1043719966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEKHA DASHRATH PATEL RPH

Provider Business Mailing Address
First Line	:	242 TIGER LN
Second Line	:
City	:	PLACENTIA
State	:	CA
Zip	:	92870-4348
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12665 GARDEN GROVE BLVD STE 108
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-1915
Country	:	US
Telephone Number	:	714-530-1130
Fax Number	:

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

Provider Enumeration Date	:	02/06/2018
Last Update Date	:	02/06/2018

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