Individual
HETAL J PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6 OLDE ORCHARD PARK, APT 617, SOUTH BURLINGTON, VT 05403-6968
(810) 730-6828
(802) 864-6080
Mailing address
6 OLDE ORCHARD PARK, APT 617, SOUTH BURLINGTON, VT 05403-6968
(810) 730-6828
(802) 864-6080
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0003743
VT
183500000X
Pharmacist
5302035457
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033.0003743
VERMONT BOARD OF PHARMACY PHARMACIST LICENSE NO.
VT
01
—
5302035457
MICHIGAN BOARD OF PHARMACY PHARMACIST LICENSE NO.
MI
Enumeration date
05/17/2013
Last updated
05/17/2013
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