Individual
MR. PRASHANT RAVAJIBHAI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
2100 RIVERSIDE PKWY, LAWRENCEVILLE, GA 30043-5927
(770) 962-1197
Mailing address
2100 RIVERSIDE PKWY, LAWRENCEVILLE, GA 30043-5927
(770) 962-1197
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
18509
GA
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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