Individual
SHIVAM PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4019 CENTRAL AVE, HOT SPRINGS, AR 71913-7208
(501) 623-7689
Mailing address
3704 LAVORTON PL, FLOWER MOUND, TX 75022-6707
(682) 521-2317
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD13710
AR
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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