Individual
JITENDRAKUMAR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
24930 GRATIOT AVE, EASTPOINTE, MI 48021-3317
(313) 335-2126
Mailing address
721 MASSIMO CRESCENT, WINDSOR, ONTARIO N9G3C-7
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038998
MI
Other
Enumeration date
01/29/2020
Last updated
09/13/2024
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