Individual
DIVYALBEN Y PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
1126 NE CONSER PL, CORVALLIS, OR 97330-6806
(150) 390-1400
(503) 901-4009
Mailing address
1126 NE CONSER PL, CORVALLIS, OR 97330-6806
15039014009
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
ROHAN-0016158
OR
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
About Stedi
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