Individual
MR. ATIT BHARAT THAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2130 MARCOLA RD, SPRINGFIELD, OR 97477-2592
(541) 747-3362
Mailing address
2005 MARCOLA RD, APT 48, SPRINGFIELD, OR 97477-2590
(518) 496-6608
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PI-0010471
OR
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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