Healthcare Provider Details

I. General information

NPI: 1275464091
Provider Name (Legal Business Name): SETU PATEL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 WOOD ST
LOWELL MA
01851-1190
US

IV. Provider business mailing address

1847 MIDDLESEX ST APT 7
LOWELL MA
01851-1171
US

V. Phone/Fax

Practice location:
  • Phone: 978-458-4621
  • Fax:
Mailing address:
  • Phone: 781-258-4368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH1002893
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: