Most Relevant Information
Provider Data
| NPI Number: | 1003387077 |
| Provider Name: | MANALI CHETANKUMAR PATEL |
| Entity Type: | Individual |
| Taxonomy Code: | 1835P2201X |
| Specialty: | Pharmacist |
| License Number: | 0000039670 |
Most Important Dates
| Enumeration Date: | 12/16/2018 |
| Last Updated: | 12/16/2018 |
Provider Practice Location
3328 LAKEWOOD DR NW
CLEVELAND
TN
373122099
Practice Location Phone/Fax
| Phone: | 4232843077 |
| Fax: |
Provider Mailing Location
6851 SHALLOWFORD RD
CHATTANOOGA
TN
374216758
Provider Mailing Phone/Fax
| Phone: | 4232843077 |
| Fax: |