Provider Demographics
NPI:1184066581
Name:PATEL, KRUPABEN HARSHITKUMAR
Entity type:Individual
Prefix:MRS
First Name:KRUPABEN
Middle Name:HARSHITKUMAR
Last Name:PATEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 LIBERTY ROSE DR
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5593
Mailing Address - Country:US
Mailing Address - Phone:919-434-4160
Mailing Address - Fax:
Practice Address - Street 1:1956 S HORNER BLVD
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-5841
Practice Address - Country:US
Practice Address - Phone:919-775-4361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-25
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23038183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist