Individual
JIGNESH BHAGAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9131 GENERAL CT, PLYMOUTH, MI 48170-4621
(734) 416-1717
Mailing address
50209 BLACK HORSE LN, CANTON, MI 48188-2287
(734) 858-7088
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302036623
MI
183500000X
Pharmacist
PS39508
FL
Other
Enumeration date
01/21/2016
Last updated
01/24/2016
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