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NPI Code Detail

MEDICARE: MR. PIYUSH BHOLABHAI PATEL RPH

MEDICARE:  MR. PIYUSH BHOLABHAI PATEL  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
1183500000XPharmacist5302035101MI

General Provider Information

NPI Number : 1881727030
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PIYUSH BHOLABHAI PATEL RPH
Provider Business Mailing Address
First Line : 4542 GULL PRAIRIE PL 2B
Second Line :
City : KALAMAZOO
State : MI
Zip : 49048-3091
Country : US
Telephone Number : 269-558-1518
Fax Number : 269-552-9210
Provider Business Practice Location Address
First Line : 4542 GULL PRAIRIE PL APT 2B
Second Line :
City : KALAMAZOO
State : MI
Zip : 49048-3091
Country : US
Telephone Number : 269-552-1518
Fax Number : 269-552-9210
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 07/08/2007

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Directions to “ MR. PIYUSH BHOLABHAI PATEL RPH” Practice Location

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