Provider Demographics
NPI:1326359092
Name:PATEL, RITA P (RPH)
Entity Type:Individual
Prefix:MS
First Name:RITA
Middle Name:P
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 1:431 CORTE MADERA TOWN CTR
Mailing Address - Street 2:
Mailing Address - City:CORTE MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:94925-1215
Mailing Address - Country:US
Mailing Address - Phone:415-924-4557
Mailing Address - Fax:415-924-8111
Practice Address - Street 1:431 CORTE MADERA TOWN CTR
Practice Address - Street 2:
Practice Address - City:CORTE MADERA
Practice Address - State:CA
Practice Address - Zip Code:94925-1215
Practice Address - Country:US
Practice Address - Phone:415-924-4557
Practice Address - Fax:415-924-8111
Is Sole Proprietor?:No
Enumeration Date:2010-06-28
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60979183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist