Provider Demographics
NPI:1215587936
Name:PATEL, PRAHAR ARUN (PHARMD)
Entity Type:Individual
Prefix:
First Name:PRAHAR
Middle Name:ARUN
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 1:1040 S PENDLETON ST STE C
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29642-1047
Mailing Address - Country:US
Mailing Address - Phone:864-644-8494
Mailing Address - Fax:864-768-3022
Practice Address - Street 1:1040 S PENDLETON ST STE C
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29642-1047
Practice Address - Country:US
Practice Address - Phone:864-644-8494
Practice Address - Fax:864-768-3022
Is Sole Proprietor?:No
Enumeration Date:2019-09-14
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC42274183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist