MEDICARE: MR. HIMANSHU H PATEL R.PH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	5302035124	MI

General Provider Information

NPI Number	:	1982892329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HIMANSHU H PATEL R.PH

Provider Business Mailing Address
First Line	:	6325 FALLS OF NEUSE RD STE 65
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-6884
Country	:	US
Telephone Number	:	919-322-4281
Fax Number	:

Provider Business Practice Location Address
First Line	:	1910 FALLS VALLEY DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-3445
Country	:	US
Telephone Number	:	517-303-0775
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2007
Last Update Date	:	05/26/2020

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