Provider Demographics
NPI:1851997977
Name:PATEL, RASHMI (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:RASHMI
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:RASHMI
Other - Middle Name:
Other - Last Name:PATEL-GUPTA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:366 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01887-3314
Mailing Address - Country:US
Mailing Address - Phone:781-315-3219
Mailing Address - Fax:
Practice Address - Street 1:1735 MASS AVE
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420-5306
Practice Address - Country:US
Practice Address - Phone:781-862-4080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-06
Last Update Date:2020-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH24606183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAPH24606OtherLICENSE