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NPI Code Detail

MEDICARE: NEHA PANKAJ THAKKAR PHARMD

MEDICARE: NEHA PANKAJ THAKKAR PHARMD
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
1183500000XPharmacist2019032455MO

General Provider Information

NPI Number : 1578175147
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEHA PANKAJ THAKKAR PHARMD
Provider Business Mailing Address
First Line : 9801 MANCHESTER RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63119-1227
Country : US
Telephone Number : 314-963-3256
Fax Number :
Provider Business Practice Location Address
First Line : 9801 MANCHESTER RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63119-1227
Country : US
Telephone Number : 314-963-3256
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2020
Last Update Date : 08/17/2020

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Directions to “ NEHA PANKAJ THAKKAR PHARMD” Practice Location

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