Provider Demographics
NPI:1447556709
Name:PATEL, NITA R (RPH)
Entity Type:Individual
Prefix:
First Name:NITA
Middle Name:R
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 1:94-307 FARRINGTON HWY
Mailing Address - Street 2:SUITE 3B WALGREENS
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-2565
Mailing Address - Country:US
Mailing Address - Phone:808-676-2230
Mailing Address - Fax:
Practice Address - Street 1:94-307 FARRINGTON HWY
Practice Address - Street 2:SUITE B7B WALGREENS
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-2565
Practice Address - Country:US
Practice Address - Phone:808-676-2230
Practice Address - Fax:808-678-2360
Is Sole Proprietor?:No
Enumeration Date:2011-02-03
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH 1862183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist