Provider Demographics
NPI:1548536139
Name:PATEL, ASHISH C (BS PHARMACY)
Entity type:Individual
Prefix:MR
First Name:ASHISH
Middle Name:C
Last Name:PATEL
Suffix:
Gender:M
Credentials:BS PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 HANSEN DR
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-1677
Mailing Address - Country:US
Mailing Address - Phone:732-318-7401
Mailing Address - Fax:973-602-2007
Practice Address - Street 1:156 ROUTE 10
Practice Address - Street 2:COSTCO
Practice Address - City:EAST HANOVER
Practice Address - State:NJ
Practice Address - Zip Code:07936
Practice Address - Country:US
Practice Address - Phone:973-560-4125
Practice Address - Fax:973-602-2007
Is Sole Proprietor?:No
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02509200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist