Individual
NIMESH GOVIND THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1130 N LEBANON ST, LEBANON, IN 46052-1759
(765) 482-3240
Mailing address
1245 W STATE ROAD 32, LEBANON, IN 46052-9165
(765) 336-1115
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022377A
IN
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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