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NPI Code Detail

MEDICARE: POOJA PATEL

MEDICARE: POOJA PATEL
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
1183500000XPharmacist29857NC

General Provider Information

NPI Number : 1093329310
Entity Type Code : Individual
Provider Name (Legal Business Name) : POOJA PATEL
Provider Business Mailing Address
First Line : 8100 GREEN LANTERN ST APT 204
Second Line :
City : RALEIGH
State : NC
Zip : 27613-4589
Country : US
Telephone Number : 336-566-7206
Fax Number :
Provider Business Practice Location Address
First Line : 11000 CREEDMOOR RD
Second Line :
City : RALEIGH
State : NC
Zip : 27614-9205
Country : US
Telephone Number : 919-847-7786
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2020
Last Update Date : 02/08/2021

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Directions to “ POOJA PATEL ” Practice Location

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