Individual
MRS. MALLIKA KANTILAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
500 E OGLETHORPE HWY, HINESVILLE, GA 31313-2804
(912) 408-2921
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6618
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
17103
LA
Other
Enumeration date
11/02/2005
Last updated
12/14/2018
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