Individual
JAYKUMAR A PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3298 S CRATER RD, PETERSBURG, VA 23805-9217
(804) 733-6216
Mailing address
3298 S CRATER RD, PETERSBURG, VA 23805-9217
(804) 733-6216
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202216518
VA
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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