Provider Demographics
NPI:1578017653
Name:PATEL, JUHIN SURESHBHAI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JUHIN
Middle Name:SURESHBHAI
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 MARTINGALE DR
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-4451
Mailing Address - Country:US
Mailing Address - Phone:910-736-5723
Mailing Address - Fax:
Practice Address - Street 1:128 MARTINGALE DR
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-4451
Practice Address - Country:US
Practice Address - Phone:910-736-5723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-07
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC26167183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist