Provider Demographics
NPI:1407131345
Name:PATEL, JIGNA G (PHARMD)
Entity type:Individual
Prefix:MISS
First Name:JIGNA
Middle Name:G
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 1:2845 W PARRISH AVE STE E
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42301-3337
Mailing Address - Country:US
Mailing Address - Phone:908-227-4912
Mailing Address - Fax:270-688-0700
Practice Address - Street 1:2845 W PARRISH AVE STE E
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42301-3337
Practice Address - Country:US
Practice Address - Phone:270-688-0100
Practice Address - Fax:270-688-0700
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-11
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03025800183500000X
KY017062183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist