Healthcare Provider Details

I. General information

NPI: 1154633543
Provider Name (Legal Business Name): DARSHANA J PATEL RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2010
Last Update Date: 07/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6767 WESTMINSTER BLVD
WESTMINSTER CA
92683-3706
US

IV. Provider business mailing address

11551 NEW ZEALAND ST
CYPRESS CA
90630-5728
US

V. Phone/Fax

Practice location:
  • Phone: 714-897-8521
  • Fax: 714-898-7166
Mailing address:
  • Phone: 714-902-7374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number39767
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: