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NPI Code Detail

MEDICARE: JALAK C PATEL RPH

MEDICARE: JALAK C 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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist5302416714MI
2183500000XPharmacist5302416714MI

General Provider Information

NPI Number : 1982438537
Entity Type Code : Individual
Provider Name (Legal Business Name) : JALAK C PATEL RPH
Provider Business Mailing Address
First Line : 2010 E APPLE AVE
Second Line :
City : MUSKEGON
State : MI
Zip : 49442-4348
Country : US
Telephone Number : 616-304-0524
Fax Number :
Provider Business Practice Location Address
First Line : 2010 E APPLE AVE
Second Line :
City : MUSKEGON
State : MI
Zip : 49442-4348
Country : US
Telephone Number : 616-304-0524
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2024
Last Update Date : 08/29/2024

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