Individual
MRS. JAGRUTI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1602 PROVIDENCE RD S, WAXHAW, NC 28173-8314
(704) 243-3777
Mailing address
8824 KENTUCKY DERBY DR, WAXHAW, NC 28173-6599
(704) 256-4609
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19553
NC
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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