Provider Demographics
NPI:1518518356
Name:PATEL RX CARE, LLC
Entity Type:Organization
Organization Name:PATEL RX CARE, LLC
Other - Org Name:HULL STREET PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:DHARIKKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-349-0905
Mailing Address - Street 1:11800 HULL STREET RD STE E
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-2948
Mailing Address - Country:US
Mailing Address - Phone:804-349-0905
Mailing Address - Fax:
Practice Address - Street 1:11800 HULL STREET RD STE E
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-2948
Practice Address - Country:US
Practice Address - Phone:804-349-0905
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-23
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy