Provider Demographics
NPI:1962782581
Name:PATEL, DHARINI C (RPH)
Entity type:Individual
Prefix:
First Name:DHARINI
Middle Name:C
Last Name:PATEL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 BUENA VISTA RD
Mailing Address - Street 2:BLDG.A
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-9701
Mailing Address - Country:US
Mailing Address - Phone:661-665-9109
Mailing Address - Fax:661-665-9718
Practice Address - Street 1:3300 BUENA VISTA RD
Practice Address - Street 2:BLDG.A
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-9701
Practice Address - Country:US
Practice Address - Phone:661-665-9109
Practice Address - Fax:661-665-9718
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA57957183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist