Individual
DIPAK PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4230 JBS PKWY, ODESSA, TX 79762-8153
(432) 362-0634
(432) 362-6345
Mailing address
9810 AGAVE AVE, ODESSA, TX 79765-2137
(732) 421-6533
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
49827
TX
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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