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NPI Code Detail

MEDICARE: ISITA PATEL

MEDICARE: ISITA 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
1183500000XPharmacist27448NC
2183500000XPharmacist28RI03749200NJ

General Provider Information

NPI Number : 1578934469
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISITA PATEL
Provider Business Mailing Address
First Line : 552 W NEW HOPE RD APT A2
Second Line :
City : GOLDSBORO
State : NC
Zip : 27534-7559
Country : US
Telephone Number : 201-377-8865
Fax Number :
Provider Business Practice Location Address
First Line : 2202 WAYNE MEMORIAL DR
Second Line :
City : GOLDSBORO
State : NC
Zip : 27534-1724
Country : US
Telephone Number : 919-739-5539
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2015
Last Update Date : 03/17/2018

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Directions to “ ISITA PATEL ” Practice Location

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