Provider Demographics
NPI:1528352820
Name:PATEL, SAPNA NATVERBHAI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SAPNA
Middle Name:NATVERBHAI
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 1:809 N AZUSA AVE
Mailing Address - Street 2:TARGET PHARMACY T-2627
Mailing Address - City:AZUSA
Mailing Address - State:CA
Mailing Address - Zip Code:91702-2510
Mailing Address - Country:US
Mailing Address - Phone:626-629-1122
Mailing Address - Fax:626-629-1123
Practice Address - Street 1:809 N AZUSA AVE
Practice Address - Street 2:TARGET PHARMACY T-2627
Practice Address - City:AZUSA
Practice Address - State:CA
Practice Address - Zip Code:91702-2510
Practice Address - Country:US
Practice Address - Phone:626-629-1122
Practice Address - Fax:626-629-1123
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-03
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 61797183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist