Individual
CHANDRAKANT SHIVARAMBHAI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
301 E WALLACE KNEELAND BLVD, SHELTON, WA 98584-2985
(360) 432-5373
Mailing address
2855 TUSCANY LN SW, APT # 321, TUMWATER, WA 98512-7873
(360) 489-9603
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH 60066304
WA
Other
Enumeration date
02/26/2012
Last updated
02/26/2012
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