Individual
CHETANA M PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
3250 W PLEASANT RUN RD STE 165, LANCASTER, TX 75146-1071
(469) 297-4877
Mailing address
3250 W PLEASANT RUN RD STE 165, LANCASTER, TX 75146-1071
(469) 297-4877
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
52709
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52709
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
10/15/2020
Last updated
10/15/2020
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