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Individual

JAIVEERSINH MAHENDRASINH RAJ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
315 N YORK RD, WILLOW GROVE, PA 19090-2621
(215) 784-1964
(215) 784-1967
Mailing address
315 N YORK RD, WILLOW GROVE, PA 19090-2621
(215) 784-1964
(215) 784-1967

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
28RI04022200
NJ
183500000X
Pharmacist
Primary
RP449778
PA

Other

Enumeration date
11/06/2020
Last updated
11/06/2020
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