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NPI Code Detail

MEDICARE: DR. SHARDUL S PATEL PHARM.D., R.PH.

MEDICARE: DR. SHARDUL S PATEL PHARM.D., R.PH.
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
1183500000XPharmacist23333MA

General Provider Information

NPI Number : 1093717977
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHARDUL S PATEL PHARM.D., R.PH.
Provider Business Mailing Address
First Line : PO BOX 810
Second Line :
City : ANDOVER
State : MA
Zip : 01810-0014
Country : US
Telephone Number : 978-806-0024
Fax Number : 978-494-4141
Provider Business Practice Location Address
First Line : 34 HAVERHILL ST
Second Line :
City : LAWRENCE
State : MA
Zip : 01841-2884
Country : US
Telephone Number : 978-806-0024
Fax Number : 978-494-4141
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2005
Last Update Date : 04/28/2010

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