Individual
MRS. JESIKA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
2105 PHILADELPHIA PIKE, CLAYMONT, DE 19703-2426
(302) 798-4618
(302) 798-4632
Mailing address
326 CLUBHOUSE LN, WILMINGTON, DE 19810-2264
(302) 475-2606
(302) 475-2606
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202205081
VA
183500000X
Pharmacist
28RI02743000
NJ
183500000X
Pharmacist
Primary
A1-0003681
DE
183500000X
Pharmacist
RP442310
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202205081
PHARMACIST
VA
01
—
28RI02743000
PHARMACIST
NJ
01
—
A1-0003681
PHARMACIST
DE
01
—
RP442310
PHARMACIST
PA
Enumeration date
02/10/2008
Last updated
02/10/2008
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