Provider Demographics
NPI:1275698680
Name:PATEL, CHANDRAKANT H (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:CHANDRAKANT
Middle Name:H
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CEDAR HOLLOW DRIVE
Mailing Address - Street 2:
Mailing Address - City:STIRLING
Mailing Address - State:NJ
Mailing Address - Zip Code:07980
Mailing Address - Country:US
Mailing Address - Phone:908-626-1203
Mailing Address - Fax:
Practice Address - Street 1:291 CENTRAL AVE
Practice Address - Street 2:FAMILY PHARMACY INC
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07307
Practice Address - Country:US
Practice Address - Phone:201-420-7737
Practice Address - Fax:201-420-7705
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02385600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist