Provider Demographics
NPI:1053192286
Name:PATEL, KOKILABEN (RPH)
Entity type:Individual
Prefix:
First Name:KOKILABEN
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 DONALD PRESTON DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-1158
Mailing Address - Country:US
Mailing Address - Phone:484-343-6033
Mailing Address - Fax:
Practice Address - Street 1:2540 MARKET ST STE 1
Practice Address - Street 2:
Practice Address - City:UPPER CHICHESTER
Practice Address - State:PA
Practice Address - Zip Code:19014-3437
Practice Address - Country:US
Practice Address - Phone:877-202-6017
Practice Address - Fax:877-310-2083
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP044652R1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist