Provider Demographics
NPI:1538489174
Name:PATEL, ALPA A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALPA
Middle Name:A
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 1:70 BUNNING DR
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4167
Mailing Address - Country:US
Mailing Address - Phone:856-751-9604
Mailing Address - Fax:856-566-8542
Practice Address - Street 1:1139 WHITE HORSE RD
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-2107
Practice Address - Country:US
Practice Address - Phone:856-566-8542
Practice Address - Fax:856-566-8542
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-06
Last Update Date:2010-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02678700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist