Healthcare Provider Details

I. General information

NPI: 1891279469
Provider Name (Legal Business Name): JULIE PATEL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2018
Last Update Date: 09/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 W 10TH AVE
COLUMBUS OH
43210
US

IV. Provider business mailing address

51 N HIGH ST UNIT 804
COLUMBUS OH
43215-3017
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-0932
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number03338074
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: