Individual
PRACHI VIKAS PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11111 W BURLEIGH ST, WAUWATOSA, WI 53222-3211
(414) 290-0910
Mailing address
234 N BROADWAY UNIT 117, MILWAUKEE, WI 53202-5827
(847) 477-2831
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22105-40
WI
Other
Enumeration date
04/12/2023
Last updated
06/02/2024
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