Provider Demographics
NPI:1104194836
Name:PATEL, ALPA A (RPH)
Entity Type:Individual
Prefix:
First Name:ALPA
Middle Name:A
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 1:111 KINGSTON WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-4529
Mailing Address - Country:US
Mailing Address - Phone:267-253-5911
Mailing Address - Fax:
Practice Address - Street 1:710 N WALES RD
Practice Address - Street 2:
Practice Address - City:NORTH WALES
Practice Address - State:PA
Practice Address - Zip Code:19454-1725
Practice Address - Country:US
Practice Address - Phone:215-412-8709
Practice Address - Fax:215-412-9540
Is Sole Proprietor?:No
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP1002931183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist