Individual
MR. MIRAGE EMIL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1201 N MULDOON ROAD, ANCHORAGE, AK 99504
(907) 257-4811
Mailing address
1201 N MULDOON ROAD, ANCHORAGE, AK 99504
(907) 257-4811
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
234302
MA
183500000X
Pharmacist
3859
NH
Other
Enumeration date
10/26/2012
Last updated
05/02/2013
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