MEDICARE: GIRISHKUMAR NARAYANBHAI PATEL B. PHARM

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	PS42934	FL

General Provider Information

NPI Number	:	1134711260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GIRISHKUMAR NARAYANBHAI PATEL B. PHARM

Provider Business Mailing Address
First Line	:	8927 FALCON POINTE LOOP
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-1474
Country	:	US
Telephone Number	:	239-561-4639
Fax Number	:

Provider Business Practice Location Address
First Line	:	4861 GOLDEN GATE PKWY
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34116-6953
Country	:	US
Telephone Number	:	239-331-3836
Fax Number	:	239-692-8213

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

Provider Enumeration Date	:	02/10/2021
Last Update Date	:	02/10/2021

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