Individual
NEELA DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1201 HOSPITAL DR, FREDERICKSBURG, VA 22401-8428
(540) 368-3802
Mailing address
15773 WIDEWATER DR, DUMFRIES, VA 22025-1218
(703) 583-2712
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302033346
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202208669
PHARMACY LICENSE
VA
01
—
5302033346
STATE LICENSE
MI
Enumeration date
03/13/2007
Last updated
03/12/2013
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