Individual
DHVANI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
124 ST PAULS AVE, JERSEY CITY, NJ 07306
(732) 516-8737
Mailing address
124 SAINT PAULS AVE, JERSEY CITY, NJ 07306-2627
(732) 516-8737
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
057539
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057539
NY STATE BOARD OF PHARMACY
NY
Enumeration date
10/15/2012
Last updated
04/03/2013
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