Individual
APURVA PATEL I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1535 E HIGHLAND AVE STE A, SAN BERNARDINO, CA 92404-4682
(909) 881-0088
(909) 881-0055
Mailing address
1535 E HIGHLAND AVE STE A, SAN BERNARDINO, CA 92404-4682
(909) 881-0088
(909) 881-0055
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
50027
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50027
STATE BOARD OF PHARMACY
CA
01
—
82-1111439
EMPLOYER INDETIFICATION NUMBER
CA
Enumeration date
10/04/2018
Last updated
10/04/2018
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