Provider Demographics
NPI:1184346132
Name:PATEL, DRASHTI DARSHAN
Entity type:Individual
Prefix:
First Name:DRASHTI
Middle Name:DARSHAN
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 1:611 MANATEE AVE
Mailing Address - Street 2:
Mailing Address - City:HOLMES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34217-1920
Mailing Address - Country:US
Mailing Address - Phone:941-778-1411
Mailing Address - Fax:
Practice Address - Street 1:611 MANATEE AVE
Practice Address - Street 2:
Practice Address - City:HOLMES BEACH
Practice Address - State:FL
Practice Address - Zip Code:34217-1920
Practice Address - Country:US
Practice Address - Phone:941-778-1411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS63502183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist