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NPI Code Detail

MEDICARE: HARIGOPAL INC

MEDICARE: HARIGOPAL INC
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
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0004XCompounding Pharmacy
33336S0011XSpecialty Pharmacy
4333600000XPharmacy
53336C0003XCommunity/Retail PharmacyPH25127FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12128128OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174826846
Entity Type Code : Organization
Provider Name (Legal Business Name) : HARIGOPAL INC
Provider Business Mailing Address
First Line : 21340 GERTRUDE AVE
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33952-5018
Country : US
Telephone Number : 941-625-7800
Fax Number : 941-625-7812
Provider Business Practice Location Address
First Line : 21340 GERTRUDE AVE
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33952-5018
Country : US
Telephone Number : 941-625-7800
Fax Number : 941-625-7812
Authorized Official
Title or Position : PRESIDENT
Name : JIGNESH PATEL
Credential :
Telephone Number : 941-625-7800
Provider Enumeration Date : 12/17/2010
Last Update Date : 10/26/2013

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1851472179 — DR. STEVEN D SHELL DO
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Practice Location Address:
21340 GERTRUDE AVE
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1164008413 — ANAND PATEL PHARMACIST
Practice Location Address:
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Practice Phone: 941-625-7800
Practice Fax: 941-625-7812

Directions to “HARIGOPAL INC ” Practice Location

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