Provider Demographics
NPI:1457903874
Name:PATEL, ANKITA VIRENDRAKUMAR (PHARMD)
Entity type:Individual
Prefix:
First Name:ANKITA
Middle Name:VIRENDRAKUMAR
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 1:1190 E WASHINGTON ST UNIT 503
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-3728
Mailing Address - Country:US
Mailing Address - Phone:863-669-8331
Mailing Address - Fax:
Practice Address - Street 1:1190 E WASHINGTON ST UNIT 503
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-3728
Practice Address - Country:US
Practice Address - Phone:863-669-8331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-15
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS51827183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist