Healthcare Provider Details

I. General information

NPI: 1063063279
Provider Name (Legal Business Name): DARSHIL PATEL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2019
Last Update Date: 09/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 W BROAD ST
QUAKERTOWN PA
18951-1250
US

IV. Provider business mailing address

228 EASTON RD APT B204
HORSHAM PA
19044-3116
US

V. Phone/Fax

Practice location:
  • Phone: 215-536-1800
  • Fax:
Mailing address:
  • Phone: 551-689-9466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP453853
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: