Individual
ASHAY PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 W STATE ST, ROCKFORD, IL 61101-1103
(815) 962-2166
Mailing address
325 W STATE ST, ROCKFORD, IL 61101-1103
(815) 962-2166
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051304650
IL
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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