Provider Demographics
NPI:1578032215
Name:PATEL, JIGAR J (PHARMD)
Entity Type:Individual
Prefix:
First Name:JIGAR
Middle Name:J
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 1:2500 W 4TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-3352
Mailing Address - Country:US
Mailing Address - Phone:302-660-8847
Mailing Address - Fax:
Practice Address - Street 1:692 N DUPONT BLVD STE 692
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1002
Practice Address - Country:US
Practice Address - Phone:302-503-9503
Practice Address - Fax:302-503-9504
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-23
Last Update Date:2018-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0005325183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist