Provider Demographics
NPI:1629304969
Name:PATEL, HIMANSHU (PHARMD)
Entity Type:Individual
Prefix:
First Name:HIMANSHU
Middle Name:
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 1:1232 W WADE HAMPTON BLVD
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650-1243
Mailing Address - Country:US
Mailing Address - Phone:864-801-2337
Mailing Address - Fax:864-801-2499
Practice Address - Street 1:1232 W WADE HAMPTON BLVD
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-1243
Practice Address - Country:US
Practice Address - Phone:864-801-2337
Practice Address - Fax:864-801-2499
Is Sole Proprietor?:No
Enumeration Date:2009-10-21
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11025183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist