Organization
RAJNIKANT M PATEL
Active
Other names
dume plaza pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAJNIKANT M PATEL RPH (OWNER PHARMACIST)
(310) 457-9707
Entity
Organization
Contact information
Practice address
29211 HEATHERCLIFF RD, MALIBU, CA 90265-4145
(310) 457-9707
Mailing address
29211 HEATHERCLIFF RD, MALIBU, CA 90265-4145
(310) 457-9707
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
45225
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY41309
CA
3336C0004X
Compounding Pharmacy
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0512891
NABP#
CA
Enumeration date
10/02/2006
Last updated
06/13/2008
Update your record
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