Organization
DR PATEL PHARMACY
Active
Other names
Dr Patel Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MAHEN PATEL PHARMD (MEMBER)
(610) 350-6091
Entity
Organization
Contact information
Practice address
2228 W 9TH ST, CHESTER TOWNSHIP, PA 19013-2402
(484) 483-9632
(484) 483-9519
Mailing address
6 THISTLE LN, MEDIA, PA 19063-5627
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482071
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025179830001
—
PA
01
—
3994476
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/29/2010
Last updated
10/18/2011
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