Provider Demographics
NPI:1477835205
Name:PATEL, MINESH K (RPH)
Entity Type:Individual
Prefix:MR
First Name:MINESH
Middle Name:K
Last Name:PATEL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 WILLIAM PENN DR
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-4377
Mailing Address - Country:US
Mailing Address - Phone:215-244-1758
Mailing Address - Fax:
Practice Address - Street 1:1375 FORTY FOOT RD
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-4459
Practice Address - Country:US
Practice Address - Phone:215-362-4067
Practice Address - Fax:215-855-4529
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-19
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP444130183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist