Organization
DHIRAJ LLC
Active
Other names
BUCKHEAD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHETANKUMAR M PATEL (CO MANAGING MEMBER)
(216) 456-5450
Entity
Organization
Contact information
Practice address
730 SOM CENTER RD STE 100, MAYFIELD VILLAGE, OH 44143-2364
(440) 605-0303
(440) 605-1437
Mailing address
730 SOM CENTER RD STE 100, MAYFIELD VILLAGE, OH 44143-2364
(440) 605-0303
(440) 605-1437
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PMY.022847400-03
OH
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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