Individual
DHAVAL H PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2001 S MORRIS AVE, 16, BLOOMINGTON, IL 61704-7293
(309) 533-8141
(309) 661-8619
Mailing address
2001 S MORRIS AVE APT 16, BLOOMINGTON, IL 61704-7555
(309) 533-8141
(309) 661-8619
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051298235
IL
Other
Enumeration date
11/28/2014
Last updated
11/28/2014
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