Provider Demographics
NPI:1447528179
Name:PATEL, SWATI RIPAL (RPH)
Entity type:Individual
Prefix:
First Name:SWATI
Middle Name:RIPAL
Last Name:PATEL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2011 WELSH RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19115-4926
Mailing Address - Country:US
Mailing Address - Phone:215-464-5249
Mailing Address - Fax:
Practice Address - Street 1:1211 BRISTOL OXFORD VALLEY RD
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19057-1120
Practice Address - Country:US
Practice Address - Phone:215-946-6736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441365183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist