Individual
DIVYESHKUMAR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 GRANGE HALL DR APT 5206, EULESS, TX 76039-1949
(201) 238-7990
Mailing address
900 GRANGE HALL DR APT 5206, EULESS, TX 76039-1949
(201) 238-7990
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
64186
TX
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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