Individual
MS. CHANDRIKA B PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15500 WASHINGTON AVE, SAN LEANDRO, CA 94579-1839
(510) 483-3917
Mailing address
4233 REMORA DR, UNION CITY, CA 94587-2535
(510) 477-0773
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
52280
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52280
CALIFORNIA BOARD OF PHARMACY LICENCE
CA
Enumeration date
09/19/2011
Last updated
09/19/2011
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