Aditya Thaker

NPI #1598157810 in O Fallon, Missouri

Provider Information

NPI Number: 1598157810
Entity Type: Individual
Name: Aditya Thaker
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Feb 24, 2015
Last Updated: Feb 24, 2015

Practice Location

Address: 1490 MEXICO LOOP RD E
City: O Fallon
State: Missouri
ZIP Code: 63366-6015
Phone: (636) 978-1602

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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