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NPI Code Detail

MEDICARE: NILESH AGRAWAL R.PH.

MEDICARE: NILESH AGRAWAL 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
1183500000XPharmacistS015356AZ

General Provider Information

NPI Number : 1316369705
Entity Type Code : Individual
Provider Name (Legal Business Name) : NILESH AGRAWAL R.PH.
Provider Business Mailing Address
First Line : 5250 W INDIAN SCHOOL RD
Second Line : PHARMACY DEPARTMENT
City : PHOENIX
State : AZ
Zip : 85031-2605
Country : US
Telephone Number : 623-845-8724
Fax Number : 623-845-8726
Provider Business Practice Location Address
First Line : 5250 W INDIAN SCHOOL RD
Second Line : PHARMACY DEPARTMENT
City : PHOENIX
State : AZ
Zip : 85031-2605
Country : US
Telephone Number : 623-845-8724
Fax Number : 623-845-8726
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2014
Last Update Date : 01/20/2014

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Directions to “ NILESH AGRAWAL R.PH.” Practice Location

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