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NPI Code Detail

MEDICARE: RISHABH LALL PHARM. D.

MEDICARE: RISHABH LALL 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
1183500000XPharmacistPS52529FL

General Provider Information

NPI Number : 1972903847
Entity Type Code : Individual
Provider Name (Legal Business Name) : RISHABH LALL PHARM. D.
Provider Business Mailing Address
First Line : 4736 SILVERMOSS DR
Second Line :
City : SARASOTA
State : FL
Zip : 34243-5107
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6370 BAYSHORE RD
Second Line :
City : NORTH FORT MYERS
State : FL
Zip : 33917-3137
Country : US
Telephone Number : 239-656-1424
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2014
Last Update Date : 08/28/2014

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Directions to “ RISHABH LALL PHARM. D.” Practice Location

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