Provider Demographics
NPI:1326029927
Name:PATEL, PASHMINA (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:PASHMINA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1051 E GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:ARROYO GRANDE
Mailing Address - State:CA
Mailing Address - Zip Code:93420-2504
Mailing Address - Country:US
Mailing Address - Phone:805-481-1961
Mailing Address - Fax:805-481-4927
Practice Address - Street 1:1051 E GRAND AVE
Practice Address - Street 2:
Practice Address - City:ARROYO GRANDE
Practice Address - State:CA
Practice Address - Zip Code:93420-2504
Practice Address - Country:US
Practice Address - Phone:805-481-1961
Practice Address - Fax:805-481-4927
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2016-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 52564183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist