Individual
DHARA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3905 DUE WEST RD NW, MARIETTA, GA 30064-1019
(678) 290-5740
Mailing address
3905 DUE WEST RD NW, MARIETTA, GA 30064-1019
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033413
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033413
BOARD OF PHARMACY
GA
Enumeration date
11/08/2022
Last updated
11/08/2022
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