Provider Demographics
NPI:1124443049
Name:PATEL, HETALBEN B (RPH)
Entity type:Individual
Prefix:
First Name:HETALBEN
Middle Name:B
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 1:114 PLEASANTVILLE CT
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-3035
Mailing Address - Country:US
Mailing Address - Phone:302-345-9671
Mailing Address - Fax:
Practice Address - Street 1:120 E PULASKI HWY
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-6430
Practice Address - Country:US
Practice Address - Phone:443-485-1944
Practice Address - Fax:443-485-1988
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21661183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist