Organization
BHARGAV C. PATEL & RICKY B. PATEL
Active
Other names
Medical Arts Rexall Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RICKY B PATEL (PHARMACIST)
(714) 776-2800
Entity
Organization
Contact information
Practice address
1120 W LA PALMA, SUITE #1, ANAHEIM, CA 92801
(714) 776-2800
(714) 776-2118
Mailing address
1120 W LA PALMA, SUITE #1, ANAHEIM, CA 92801
(714) 776-2800
(714) 776-2118
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0511039
NCPDP
CA
05
—
PHA573010
—
CA
01
—
PHY57301
STATE PHARMACY LICENSE
CA
Enumeration date
11/01/2006
Last updated
03/07/2023
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