Individual
DIVYESH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4539 GRAND BLVD, NEW PORT RICHEY, FL 34652-5121
(727) 845-5550
Mailing address
4539 GRAND BLVD, NEW PORT RICHEY, FL 34652-5121
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS32148
FL
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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