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1881299550
SHIVAM PATEL
MARIETTA, GA
NPI
1881299550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: GA RPH031351)
Enumeration Date
2020-12-01
Last Update Date
2020-12-01
Business Address
SHIVAM PATEL
300 POWDER SPRINGS ST
MARIETTA, GA 30064-3452
Phone number: 770-422-1413
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Mailing Address
SHIVAM PATEL
1404 GROVEHURST DR
MARIETTA, GA 30062-6111
Phone number: 678-777-1300
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