Provider Demographics
NPI:1801186507
Name:PATEL, UJJAVALA K (PHARM D)
Entity Type:Individual
Prefix:MS
First Name:UJJAVALA
Middle Name:K
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 1:7001 PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-3032
Mailing Address - Country:US
Mailing Address - Phone:727-547-6411
Mailing Address - Fax:727-547-6683
Practice Address - Street 1:7001 PARK BLVD
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-3032
Practice Address - Country:US
Practice Address - Phone:727-547-6411
Practice Address - Fax:727-547-6683
Is Sole Proprietor?:No
Enumeration Date:2011-04-14
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS41241183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist