Provider Demographics
NPI:1982049706
Name:PATEL, HARSHKUMAR K (PHARMD/MBA)
Entity Type:Individual
Prefix:
First Name:HARSHKUMAR
Middle Name:K
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHARMD/MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 HERITAGE LN SW
Mailing Address - Street 2:
Mailing Address - City:HARTSELLE
Mailing Address - State:AL
Mailing Address - Zip Code:35640-3550
Mailing Address - Country:US
Mailing Address - Phone:631-482-0774
Mailing Address - Fax:
Practice Address - Street 1:201 HIGHWAY 31 NW
Practice Address - Street 2:
Practice Address - City:HARTSELLE
Practice Address - State:AL
Practice Address - Zip Code:35640-4444
Practice Address - Country:US
Practice Address - Phone:205-726-2669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-07
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL19350183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist