Provider Demographics
NPI:1952524860
Name:PATEL, HARESH C I (RPH)
Entity type:Individual
Prefix:MR
First Name:HARESH
Middle Name:C
Last Name:PATEL
Suffix:I
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18156 SANDY POINTE DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3307
Mailing Address - Country:US
Mailing Address - Phone:813-994-3021
Mailing Address - Fax:
Practice Address - Street 1:14306 7TH ST
Practice Address - Street 2:
Practice Address - City:DADE CITY
Practice Address - State:FL
Practice Address - Zip Code:33523-3434
Practice Address - Country:US
Practice Address - Phone:352-567-2238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0030906183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist