Individual
MITESH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1099 GARTH BROOKS BLVD, YUKON, OK 73099-4104
(405) 350-1251
Mailing address
2706 SOUTH COUNTRY CLUB ROAD, EL RENO, OK 73036
(405) 412-1636
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15281
OK
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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