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NPI Code Detail

MEDICARE: SWATI PATHAK

MEDICARE: SWATI PATHAK
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
1183500000XPharmacist10204NC

General Provider Information

NPI Number : 1801180021
Entity Type Code : Individual
Provider Name (Legal Business Name) : SWATI PATHAK
Provider Business Mailing Address
First Line : 9531 SOUTH BLVD
Second Line : T-0762
City : CHARLOTTE
State : NC
Zip : 28273-6901
Country : US
Telephone Number : 704-553-2903
Fax Number : 704-553-2903
Provider Business Practice Location Address
First Line : 9531 SOUTH BLVD
Second Line : T-0762
City : CHARLOTTE
State : NC
Zip : 28273-6901
Country : US
Telephone Number : 704-553-2903
Fax Number : 704-553-2903
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2011
Last Update Date : 06/06/2011

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Directions to “ SWATI PATHAK ” Practice Location

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