Individual
KEVIN H PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
117 REDTAIL HAWK CIR, SEWELL, NJ 08080-9530
(856) 298-3504
Mailing address
117 REDTAIL HAWK CIR, SEWELL, NJ 08080-9530
(856) 298-3504
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03623100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI03623100
PHARMACIST LICENSE
NJ
Enumeration date
03/12/2014
Last updated
12/11/2020
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