Healthcare Provider Details

I. General information

NPI: 1972384709
Provider Name (Legal Business Name): HARSH PATEL PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2023
Last Update Date: 10/09/2023
Certification Date: 10/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL DR
LOWELL MA
01852-1311
US

IV. Provider business mailing address

21 CLEMENTI LN
METHUEN MA
01844-6480
US

V. Phone/Fax

Practice location:
  • Phone: 978-934-8260
  • Fax:
Mailing address:
  • Phone: 978-873-6238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberPH241049
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: