MEDICARE: PARESH PATEL RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	42906	CA

General Provider Information

NPI Number	:	1861788127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PARESH PATEL RPH

Provider Business Mailing Address
First Line	:	2485 EL CAMINO REAL
Second Line	:
City	:	REDWOOD CITY
State	:	CA
Zip	:	94063-2849
Country	:	US
Telephone Number	:	650-549-0000
Fax Number	:	650-549-0000

Provider Business Practice Location Address
First Line	:	2485 EL CAMINO REAL
Second Line	:
City	:	REDWOOD CITY
State	:	CA
Zip	:	94063-2849
Country	:	US
Telephone Number	:	650-549-0000
Fax Number	:	650-549-0000

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2011
Last Update Date	:	06/24/2011

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