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Individual

DR. ANKIT KANTI PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1940 W 33RD ST, TARGET PHARMACY STORE NUMBER T-2078, CHICAGO, IL 60608-6107
(773) 843-3267
(773) 843-3261
Mailing address
1940 W 33RD ST, TARGET PHARMACY STORE NUMBER T-2078, CHICAGO, IL 60608-6107

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.293299
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
410215170078
IL
Enumeration date
06/15/2011
Last updated
06/15/2011
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