Provider Demographics
NPI:1386032100
Name:PATEL, RAKHEE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RAKHEE
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20410 LACE CASCADE RD
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34637-5807
Mailing Address - Country:US
Mailing Address - Phone:847-340-0900
Mailing Address - Fax:
Practice Address - Street 1:20410 LACE CASCADE RD
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34637-5807
Practice Address - Country:US
Practice Address - Phone:847-340-0900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-31
Last Update Date:2014-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS43358183500000X
IL051041071183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist