Provider Demographics
NPI:1730501644
Name:PATEL, SONAL B (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SONAL
Middle Name:B
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 1:1010 W LA VETA AVE STE 130
Mailing Address - Street 2:PACIFIC PHARMACY GROUP
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4301
Mailing Address - Country:US
Mailing Address - Phone:949-215-5522
Mailing Address - Fax:
Practice Address - Street 1:26357 MCBEAN PKWY STE 140
Practice Address - Street 2:VALENCIA TOWN CENTER PHARMACY
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-4491
Practice Address - Country:US
Practice Address - Phone:661-291-1800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-11
Last Update Date:2014-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64788183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist