Individual
MR. SAMIR M PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
3405 WHITE HORSE RD STE F, GREENVILLE, SC 29611-5947
(864) 671-0300
(864) 671-0301
Mailing address
12 WHITETHORN LN, GREENVILLE, SC 29607-5676
(973) 462-4429
(864) 671-0301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH35384
SC
183500000X
Pharmacist
S017213
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
717095
—
SC
Enumeration date
01/22/2014
Last updated
01/30/2020
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