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Individual

MR. BHUPENDRA M PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
14936 N FLORIDA AVE, THE MEDICINE SHOPPE PHARMACY, TAMPA, FL 33613-1626
(813) 961-6546
(813) 963-6379
Mailing address
18205 BITTERN AVE, LUTZ, FL 33558-2734
(813) 963-6025
(813) 963-6379

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS30767
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PS30767
PHARMACIST LICENSE
FL
Enumeration date
10/11/2006
Last updated
07/08/2007
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