Provider Demographics
NPI:1891249264
Name:PATEL, NEAL (PHARMD)
Entity Type:Individual
Prefix:
First Name:NEAL
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 SPRUCE PL
Mailing Address - Street 2:UNIT #3
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55403-1936
Mailing Address - Country:US
Mailing Address - Phone:224-595-7293
Mailing Address - Fax:
Practice Address - Street 1:34 SPRUCE PL
Practice Address - Street 2:UNIT #3
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55403-1936
Practice Address - Country:US
Practice Address - Phone:224-595-7293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-15
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN122875183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist