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NPI Code Detail

MEDICARE: JAYSHREE PATEL RPH

MEDICARE: JAYSHREE 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
1183500000XPharmacist28RI02516600NJ

General Provider Information

NPI Number : 1760756159
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYSHREE PATEL RPH
Provider Business Mailing Address
First Line : 574 WINCHESTER AVE
Second Line :
City : UNION
State : NJ
Zip : 07083-7915
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 570 BLOOMFIELD AVE
Second Line :
City : NEWARK
State : NJ
Zip : 07107-1346
Country : US
Telephone Number : 973-482-6753
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2012
Last Update Date : 03/01/2012

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Directions to “ JAYSHREE PATEL RPH” Practice Location

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