MEDICARE: MR. PRIYAJEET SHEKHAR PAREKH

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	PS59521	FL

General Provider Information

NPI Number	:	1841866613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PRIYAJEET SHEKHAR PAREKH

Provider Business Mailing Address
First Line	:	8321 MEADOW WALK LN
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-8074
Country	:	US
Telephone Number	:	904-861-7476
Fax Number	:

Provider Business Practice Location Address
First Line	:	1545 UNIVERSITY BLVD N
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32211-5229
Country	:	US
Telephone Number	:	844-224-8493
Fax Number	:

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

Provider Enumeration Date	:	06/01/2021
Last Update Date	:	06/01/2021

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