Provider Demographics
NPI:1033892088
Name:PATEL, DEVON PINAKIN (PHARM D, MBA)
Entity Type:Individual
Prefix:DR
First Name:DEVON
Middle Name:PINAKIN
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHARM D, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4646 N HIGHWAY 81
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:OK
Mailing Address - Zip Code:73533-8960
Mailing Address - Country:US
Mailing Address - Phone:580-736-3330
Mailing Address - Fax:580-252-5210
Practice Address - Street 1:2249 NW 39TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-8831
Practice Address - Country:US
Practice Address - Phone:405-724-7852
Practice Address - Fax:405-724-7853
Is Sole Proprietor?:No
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK20179183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist