Provider Demographics
NPI:1447859079
Name:PATEL, VIRAJ MUKESHKUMAR (PHARMD)
Entity type:Individual
Prefix:
First Name:VIRAJ
Middle Name:MUKESHKUMAR
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6318 EMLENTON CLINTONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:EMLENTON
Mailing Address - State:PA
Mailing Address - Zip Code:16373-7422
Mailing Address - Country:US
Mailing Address - Phone:734-377-8397
Mailing Address - Fax:
Practice Address - Street 1:1505 7TH AVE
Practice Address - Street 2:
Practice Address - City:BEAVER FALLS
Practice Address - State:PA
Practice Address - Zip Code:15010-4121
Practice Address - Country:US
Practice Address - Phone:724-843-6774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-24
Last Update Date:2020-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP454503183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist