Individual
JAI MAHESH PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-6215
Mailing address
1411 W WESTON TRL, FLAGSTAFF, AZ 86001-7022
(919) 360-7659
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
20516
NC
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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