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NPI Code Detail

MEDICARE: SUSAN HITESH PATEL

MEDICARE: SUSAN HITESH 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
1183500000XPharmacist9959SC

General Provider Information

NPI Number : 1346598158
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN HITESH PATEL
Provider Business Mailing Address
First Line : 4715 SAUL WHITE BLVD
Second Line :
City : CHARLESTON
State : SC
Zip : 29418-7923
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4400 DORCHESTER RD
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29405-6849
Country : US
Telephone Number : 843-554-6193
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2012
Last Update Date : 01/16/2013

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Directions to “ SUSAN HITESH PATEL ” Practice Location

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