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NPI Code Detail

MEDICARE: AKTTA THAKKAR

MEDICARE: AKTTA THAKKAR
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
1183500000XPharmacistPHA.0023787CO

General Provider Information

NPI Number : 1376205914
Entity Type Code : Individual
Provider Name (Legal Business Name) : AKTTA THAKKAR
Provider Business Mailing Address
First Line : 4470 ROYAL PINE DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-2829
Country : US
Telephone Number : 719-445-4160
Fax Number : 719-445-4166
Provider Business Practice Location Address
First Line : 4470 ROYAL PINE DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-2829
Country : US
Telephone Number : 719-445-4160
Fax Number : 719-445-4166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2021
Last Update Date : 10/12/2021

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Directions to “ AKTTA THAKKAR ” Practice Location

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