Individual
NIRAVKUMAR PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7910 REGATTA DR, APT 102, CORDOVA, TN 38016-1337
(901) 264-0462
Mailing address
7910 RAGETTA DRIVE APT 102, CORDOVA, TN 38016
(901) 264-0462
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
41416
TN
Other
Enumeration date
11/18/2013
Last updated
02/05/2014
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