MEDICARE: RACHANA PATEL 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
1	183500000X	Pharmacist	19852	MD

General Provider Information

NPI Number	:	1356656318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHANA PATEL PHARM.D.

Provider Business Mailing Address
First Line	:	1918 REILLY RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19115-1731
Country	:	US
Telephone Number	:	215-464-1402
Fax Number	:

Provider Business Practice Location Address
First Line	:	1918 REILLY RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19115-1731
Country	:	US
Telephone Number	:	215-464-1402
Fax Number	:

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

Provider Enumeration Date	:	08/15/2010
Last Update Date	:	08/15/2010

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