MEDICARE: PATELRX COMPANY, LLC

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	333600000X	Pharmacy

General Provider Information

NPI Number	:	1982438958
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATELRX COMPANY, LLC

Provider Business Mailing Address
First Line	:	283 YANKEETOWN ST
Second Line	:
City	:	MT STERLING
State	:	OH
Zip	:	43143-9410
Country	:	US
Telephone Number	:	740-869-3784
Fax Number	:	740-869-3840

Provider Business Practice Location Address
First Line	:	283 YANKEETOWN ST
Second Line	:
City	:	MT STERLING
State	:	OH
Zip	:	43143-9410
Country	:	US
Telephone Number	:	740-869-3784
Fax Number	:	740-869-3840

Authorized Official
Title or Position	:	OWNER
Name	:	MS. SANGITA K PATEL
Credential	:	RPH
Telephone Number	:	740-304-3509

Provider Enumeration Date	:	08/30/2024
Last Update Date	:	08/30/2024

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