Provider Demographics
NPI:1215205422
Name:PATEL, ALPESH C (REGISTERED PHARMACIS)
Entity Type:Individual
Prefix:
First Name:ALPESH
Middle Name:C
Last Name:PATEL
Suffix:
Gender:M
Credentials:REGISTERED PHARMACIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:443 HULMEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-2715
Mailing Address - Country:US
Mailing Address - Phone:215-757-3394
Mailing Address - Fax:
Practice Address - Street 1:4296 ROUTE 130
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-2027
Practice Address - Country:US
Practice Address - Phone:609-871-9017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-02
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03025500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist