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Individual

DIVYA D PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.PH

Contact information

Practice address
600 N EAGELSON AVE, BLOOMINGTON, IN 47405
(812) 855-3865
(812) 856-7777
Mailing address
601 W JOCEDAN CT, BLOOMINGTON, IN 47404-9288
(812) 361-9659
(812) 856-7777

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021906A
IN

Other

Enumeration date
12/07/2020
Last updated
03/02/2022
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