Provider Demographics
NPI:1205129269
Name:PATEL, MEETA NATVERBHAI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MEETA
Middle Name:NATVERBHAI
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2626 COLORADO BLVD
Mailing Address - Street 2:TARGET PHARMACY T-1408
Mailing Address - City:EAGLE ROCK
Mailing Address - State:CA
Mailing Address - Zip Code:90041-1070
Mailing Address - Country:US
Mailing Address - Phone:323-258-5101
Mailing Address - Fax:323-258-5101
Practice Address - Street 1:2626 COLORADO BLVD
Practice Address - Street 2:TARGET PHARMACY T-1408
Practice Address - City:EAGLE ROCK
Practice Address - State:CA
Practice Address - Zip Code:90041-1070
Practice Address - Country:US
Practice Address - Phone:323-258-5101
Practice Address - Fax:323-258-5101
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-25
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 61821183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist