Individual
KRYSTAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1517 MT. VERNON AVE, ALEXANDRIA, VA 22301
(813) 317-0485
Mailing address
4390 KING ST. APT 1014, ALEXANDRIA, VA 22302
(813) 317-0485
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202212411
VA
183500000X
Pharmacist
21967
MD
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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