Individual
JAYESH PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4140 S BROADWAY, SAINT LOUIS, MO 63118-4604
(314) 832-4995
Mailing address
4140 S BROADWAY, SAINT LOUIS, MO 63118-4604
(314) 270-8080
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2009011793
MO
Other
Enumeration date
11/15/2011
Last updated
04/14/2015
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