Individual
VAIDAHI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15570 SW PACIFIC HWY, KING CITY, OR 97224-3522
(503) 598-6009
Mailing address
15570 SW PACIFIC HWY, KING CITY, OR 97224-3522
(503) 598-6009
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0015270
OR
183500000X
Pharmacist
70029
CA
Other
Enumeration date
02/24/2014
Last updated
11/01/2020
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