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NPI Code Detail

MEDICARE: VIMAL BHAKTA RPH

MEDICARE: VIMAL BHAKTA 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
1183500000XPharmacist39503TX

General Provider Information

NPI Number : 1831700038
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIMAL BHAKTA RPH
Provider Business Mailing Address
First Line : 1440 GARDENIA ST
Second Line :
City : IRVING
State : TX
Zip : 75063-4232
Country : US
Telephone Number : 972-839-0724
Fax Number :
Provider Business Practice Location Address
First Line : 3001 JOE RAMSEY BLVD E
Second Line :
City : GREENVILLE
State : TX
Zip : 75401-7714
Country : US
Telephone Number : 903-455-7200
Fax Number : 903-455-7300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2020
Last Update Date : 08/11/2020

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Directions to “ VIMAL BHAKTA RPH” Practice Location

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