Individual
PRAHLAD PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
414 ATLANTIC BLVD, NEPTUNE BEACH, FL 32266-4022
(904) 241-2461
(904) 246-6276
Mailing address
414 ATLANTIC BLVD, NEPTUNE BEACH, FL 32266-4022
(904) 241-2461
(904) 246-6276
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PS31432
FL
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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