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NPI Code Detail

MEDICARE: RUPAL BHARAT SHETH PHARM D

MEDICARE: RUPAL BHARAT SHETH PHARM D
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
1183500000XPharmacistRPH022137GA

General Provider Information

NPI Number : 1861774895
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUPAL BHARAT SHETH PHARM D
Provider Business Mailing Address
First Line : 1030 DELTA BLVD
Second Line :
City : ATLANTA
State : GA
Zip : 30354-1989
Country : US
Telephone Number : 404-305-9062
Fax Number :
Provider Business Practice Location Address
First Line : 1030 DELTA BLVD
Second Line :
City : ATLANTA
State : GA
Zip : 30354-1989
Country : US
Telephone Number : 404-305-9062
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2011
Last Update Date : 09/15/2011

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Directions to “ RUPAL BHARAT SHETH PHARM D” Practice Location

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