Individual
PRIYAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2790 BROADWAY AVE, NORTH BEND, OR 97459-2216
(541) 449-9190
Mailing address
2790 BROADWAY AVE, NORTH BEND, OR 97459-2216
(541) 449-9190
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH 0014900
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0014900
OR
Other
Enumeration date
09/25/2015
Last updated
02/04/2021
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