Most Relevant Information
Provider Data
| NPI Number: | 1003360207 |
| Provider Name: | TRINA PATEL |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | RP450775 |
Most Important Dates
| Enumeration Date: | 08/05/2016 |
| Last Updated: | 08/05/2016 |
Provider Practice Location
1111 E END BLVD
WILKES BARRE
PA
187110030
Practice Location Phone/Fax
| Phone: | 5708243521 |
| Fax: |
Provider Mailing Location
1111 E END BLVD
WILKES BARRE
PA
187110030
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |