Individual
POORVI CHETAN PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
760 MICHAELA DR, NORTH LITTLE ROCK, AR 72117-5361
(501) 992-1006
Mailing address
760 MICHAELA DR, NORTH LITTLE ROCK, AR 72117-5361
(501) 992-1006
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD15081
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PD15081
—
AR
Enumeration date
10/14/2020
Last updated
10/14/2020
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