Provider Demographics
NPI:1750639381
Name:PATEL, SAPANA Y (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:SAPANA
Middle Name:Y
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 HIGHWAY ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:NC
Mailing Address - Zip Code:27025-1507
Mailing Address - Country:US
Mailing Address - Phone:336-548-6021
Mailing Address - Fax:
Practice Address - Street 1:717 HIGHWAY ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:NC
Practice Address - Zip Code:27025-1507
Practice Address - Country:US
Practice Address - Phone:336-548-6021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-29
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22760183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist