Provider Demographics
NPI:1508134347
Name:PATEL, DULARI KETANKUMAR (PHARMD)
Entity Type:Individual
Prefix:
First Name:DULARI
Middle Name:KETANKUMAR
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 1:2417 SYCAMORE DR
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-2301
Mailing Address - Country:US
Mailing Address - Phone:805-426-3722
Mailing Address - Fax:805-426-3728
Practice Address - Street 1:2417 SYCAMORE DR
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-2301
Practice Address - Country:US
Practice Address - Phone:805-426-3722
Practice Address - Fax:805-426-3728
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 55546183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist