Individual
CHAITALIBAHEN PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2015 W FOXWOOD DR, RAYMORE, MO 64083-9380
(816) 331-2975
Mailing address
604 SW 33RD ST, LEES SUMMIT, MO 64082-4150
(816) 916-7200
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2009031385
MO
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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