Provider Demographics
NPI:1891003232
Name:PATEL, HEMLATA A (RPH)
Entity Type:Individual
Prefix:MRS
First Name:HEMLATA
Middle Name:A
Last Name:PATEL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12228 MOUNT ALBERT RD
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-1337
Mailing Address - Country:US
Mailing Address - Phone:410-531-9641
Mailing Address - Fax:410-531-9641
Practice Address - Street 1:6622 SECURITY BLVD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21207-4010
Practice Address - Country:US
Practice Address - Phone:410-944-6611
Practice Address - Fax:410-944-0236
Is Sole Proprietor?:No
Enumeration Date:2010-09-20
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16455183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist