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NPI Code Detail

MEDICARE: DR. KRUTI RUCHIK MEHTA PHARM.D.

MEDICARE: DR. KRUTI RUCHIK MEHTA PHARM.D.
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
1183500000XPharmacist23030NC

General Provider Information

NPI Number : 1245589019
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRUTI RUCHIK MEHTA PHARM.D.
Provider Business Mailing Address
First Line : 1543 HEATHER GLEN RD
Second Line :
City : KANNAPOLIS
State : NC
Zip : 28081-6410
Country : US
Telephone Number : 843-597-4261
Fax Number :
Provider Business Practice Location Address
First Line : 2501 W ROOSEVELT BLVD
Second Line :
City : MONROE
State : NC
Zip : 28110-0418
Country : US
Telephone Number : 704-283-1506
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2012
Last Update Date : 07/13/2013

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