MEDICARE: RAJNI PATEL

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	28RI03220500	NJ

General Provider Information

NPI Number	:	1326641234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJNI PATEL

Provider Business Mailing Address
First Line	:	160 KINGSLAND RD
Second Line	:
City	:	CLIFTON
State	:	NJ
Zip	:	07014-1915
Country	:	US
Telephone Number	:	973-779-7831
Fax Number	:	973-779-5245

Provider Business Practice Location Address
First Line	:	160 KINGSLAND RD
Second Line	:
City	:	CLIFTON
State	:	NJ
Zip	:	07014-1915
Country	:	US
Telephone Number	:	973-779-7831
Fax Number	:

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

Provider Enumeration Date	:	11/21/2020
Last Update Date	:	11/21/2020

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Directions to “ RAJNI PATEL ” Practice Location

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