Provider Demographics
NPI:1568619583
Name:PATEL, PARUL R (RPH)
Entity Type:Individual
Prefix:
First Name:PARUL
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 1:253 GRACE AVE
Mailing Address - Street 2:
Mailing Address - City:SECAUCUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07094-3712
Mailing Address - Country:US
Mailing Address - Phone:201-738-0779
Mailing Address - Fax:201-422-0790
Practice Address - Street 1:QUIK DRUGS PHARMACY
Practice Address - Street 2:40 MEADOWLANDS PARKWAY
Practice Address - City:SECAUCUS
Practice Address - State:NJ
Practice Address - Zip Code:07094-0709
Practice Address - Country:US
Practice Address - Phone:201-330-0063
Practice Address - Fax:201-330-0144
Is Sole Proprietor?:No
Enumeration Date:2008-08-20
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052715183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist