Individual
GIRISHKUMAR P PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
601 ELIZABETH AVE, BERT'S PHARMACY, ELIZABETH, NJ 07206
(908) 351-0644
(908) 351-0759
Mailing address
601 ELIZABETH AVE, BERT'S PHARMACY, ELIZABETH, NJ 07206-1146
(908) 351-0644
(908) 351-0759
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02960900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI02960900
STATE LICENSE
NJ
Enumeration date
08/13/2010
Last updated
09/16/2013
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