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General NPI Number Information
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NPI Number | 1376149435
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Entity Type | Individual
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Provider Name | PAYAL PATEL PHARMD, RPH, MBA
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Gender | Female
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Dates
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Enumeration Date | 12/04/2020
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 1505 W SHERMAN AVE
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City | VINELAND
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State | NJ
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Zip | 08360-7059
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Country | US
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Telephone | 856-641-7557
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Fax |
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Provider Business Mailing Address
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Address Line | 1019 MOORE RD
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City | WEST DEPTFORD
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State | NJ
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Zip | 08086-3833
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI03987100
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License Number State | NJ
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