Individual
DIVYESH ASHOK PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
150 N COPPELL RD, COPPELL, TX 75019-2293
(469) 213-3659
Mailing address
5320 CLINTON HWY, KNOXVILLE, TN 37912-3844
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000037750
TN
Other
Enumeration date
08/13/2020
Last updated
09/05/2024
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