Provider Demographics
NPI:1013403765
Name:PATEL, DRASHTI ASHVINKUMAR (RPH)
Entity Type:Individual
Prefix:
First Name:DRASHTI
Middle Name:ASHVINKUMAR
Last Name:PATEL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11911 US 70 BUS HWY W
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-2144
Mailing Address - Country:US
Mailing Address - Phone:919-359-2900
Mailing Address - Fax:
Practice Address - Street 1:11911 US 70 BUS HWY W
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-2144
Practice Address - Country:US
Practice Address - Phone:919-359-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-05
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27947183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist