Healthcare Provider Details

I. General information

NPI: 1386768224
Provider Name (Legal Business Name): PARIMAL PATEL PHARM.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3615 19TH ST
LUBBOCK TX
79410-1203
US

IV. Provider business mailing address

4312 17TH ST APT 11
LUBBOCK TX
79416-5822
US

V. Phone/Fax

Practice location:
  • Phone: 806-725-0407
  • Fax:
Mailing address:
  • Phone: 806-792-6974
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number41429
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: