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Individual

DR. AMBRISH PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
190 THOMAS JOHNSON DR STE 3, FREDERICK, MD 21702-4879
(240) 422-8433
(301) 662-0001
Mailing address
1205 E PINE ST, KMART PHARNACY, DEMING, NM 88030-7038
(575) 544-9008
(575) 544-4465

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24518
MD
183500000X
Pharmacist
50775
TX
183500000X
Pharmacist
RP00007752
NM

Other

Enumeration date
05/05/2014
Last updated
09/25/2020
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