Individual
MR. INDRA ANDY PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2979 FIVE FORKS TRICKUM RD, LAWRENCEVILLE, GA 30044-5873
(770) 979-8121
Mailing address
525 KENION FOREST WAY, LILBURN, GA 30047-8817
(404) 488-6799
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH011216
GA
Other
Enumeration date
04/10/2011
Last updated
04/10/2011
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