Provider Demographics
NPI:1962720698
Name:PATEL, YERA B (PHARMD)
Entity type:Individual
Prefix:MS
First Name:YERA
Middle Name:B
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 1:421 TIDLAND CIR
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-7223
Mailing Address - Country:US
Mailing Address - Phone:714-985-4638
Mailing Address - Fax:714-772-4454
Practice Address - Street 1:921 S BROOKHURST ST
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-4304
Practice Address - Country:US
Practice Address - Phone:714-772-0240
Practice Address - Fax:714-772-4454
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-05
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50861183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist