Provider Demographics
NPI:1841963477
Name:PATEL, PRITI (PHARMACIST)
Entity type:Individual
Prefix:MRS
First Name:PRITI
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5925 TRUXTUN AVE STE B
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-0434
Mailing Address - Country:US
Mailing Address - Phone:661-324-7979
Mailing Address - Fax:661-369-8974
Practice Address - Street 1:5925 TRUXTUN AVE STE B
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-0434
Practice Address - Country:US
Practice Address - Phone:661-324-7979
Practice Address - Fax:661-369-8974
Is Sole Proprietor?:No
Enumeration Date:2021-07-29
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA429361835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA77-0582085Medicaid