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Individual

MR. SANJAY SHANTIBHAI PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.S. PHARMACIST

Contact information

Practice address
37323 FREMONT BLVD, FREMONT, CA 94536-3702
(510) 797-2772
(510) 797-4986
Mailing address
2600 MOWRY AVE, FREMONT, CA 94538-1619
(510) 742-9356
(510) 742-9386

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
48629
CA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
48629
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1629350731
CA
Enumeration date
09/14/2011
Last updated
11/05/2024
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