Provider Demographics
NPI:1407226368
Name:PATEL, KRUPA R (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KRUPA
Middle Name:R
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 1:2901 BENTGRASS CT
Mailing Address - Street 2:
Mailing Address - City:EFFINGHAM
Mailing Address - State:SC
Mailing Address - Zip Code:29541-4924
Mailing Address - Country:US
Mailing Address - Phone:843-601-7148
Mailing Address - Fax:
Practice Address - Street 1:2127 BOUNDARY ST
Practice Address - Street 2:STORE # 7160
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-3827
Practice Address - Country:US
Practice Address - Phone:843-524-1286
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-04
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC36319183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist