MEDICARE: MAHENDRA S PATEL RPH

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	11273	NC

General Provider Information

NPI Number	:	1659404903
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAHENDRA S PATEL RPH

Provider Business Mailing Address
First Line	:	1124 GROGANS MILL DR
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27519-9472
Country	:	US
Telephone Number	:	919-413-2120
Fax Number	:	919-462-8936

Provider Business Practice Location Address
First Line	:	1945 HIGH HOUSE RD
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27519-8452
Country	:	US
Telephone Number	:	919-467-6064
Fax Number	:	919-462-8936

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

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	07/23/2009

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Directions to “ MAHENDRA S PATEL RPH” Practice Location

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