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Individual

BHRANTIBEN PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5839 HARBOUR VIEW BLVD STE 102, SUFFOLK, VA 23435
(757) 394-1870
(757) 394-1873
Mailing address
2982 SUGAR MAPLE DR, VIRGINIA BEACH, VA 23453-7052

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202206515
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0202206515
BOARD OF PHARMACY
VA
Enumeration date
02/21/2019
Last updated
02/21/2019
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  • EDI platform