Provider Demographics
NPI:1083735922
Name:PATEL, NIMISH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NIMISH
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18064 ADDISON
Mailing Address - Street 2:
Mailing Address - City:PIERREFONDS
Mailing Address - State:QUEBEC
Mailing Address - Zip Code:H9K 1N7
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1409 ALTAMONT AVE
Practice Address - Street 2:ECKERDS PHARMACY
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12303-2904
Practice Address - Country:US
Practice Address - Phone:518-355-2008
Practice Address - Fax:518-477-7907
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000202183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist