Individual
ANKIT PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
495 CHARLES HARDY PKWY, DALLAS, GA 30157-5723
(770) 445-2128
Mailing address
495 CHARLES HARDY PKWY, DALLAS, GA 30157-5723
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH025957
GA
Other
Enumeration date
08/15/2015
Last updated
08/15/2015
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