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NPI Code Detail

MEDICARE: REEMA PATEL PHARMD

MEDICARE: REEMA PATEL 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
1183500000XPharmacist62043TX
2183500000XPharmacist16264OK

General Provider Information

NPI Number : 1811417967
Entity Type Code : Individual
Provider Name (Legal Business Name) : REEMA PATEL PHARMD
Provider Business Mailing Address
First Line : 116 S 14TH ST
Second Line :
City : PONCA CITY
State : OK
Zip : 74601-5653
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1440 EMPIRE CENTRAL DR STE LD1.322
Second Line :
City : DALLAS
State : TX
Zip : 75247-4091
Country : US
Telephone Number : 469-291-2444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2017
Last Update Date : 04/13/2023

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Directions to “ REEMA PATEL PHARMD” Practice Location

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