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NPI Code Detail

MEDICARE: RAJMOHAN BRIDGELAL RPH

MEDICARE: RAJMOHAN BRIDGELAL 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
1183500000XPharmacistPS27127FL

General Provider Information

NPI Number : 1083436562
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAJMOHAN BRIDGELAL RPH
Provider Business Mailing Address
First Line : 1827 BARRINGTON CIR
Second Line :
City : ROCKLEDGE
State : FL
Zip : 32955-3063
Country : US
Telephone Number : 321-506-0495
Fax Number :
Provider Business Practice Location Address
First Line : 4020 N WICKHAM RD
Second Line :
City : MELBOURNE
State : FL
Zip : 32935-2472
Country : US
Telephone Number : 321-254-7803
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2024
Last Update Date : 10/28/2024

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