Individual
NISHA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12201 HIGHLAND AVE, RANCHO CUCAMONGA, CA 91739-2573
(909) 646-9366
(909) 646-9375
Mailing address
12201 HIGHLAND AVE, RANCHO CUCAMONGA, CA 91739-2573
(909) 646-9366
(909) 646-9375
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
18792
NV
183500000X
Pharmacist
S020858
AZ
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
76320
CA
Other
Enumeration date
09/15/2014
Last updated
01/22/2020
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