IndividualActive
Diviya Patel, PHARMD
NPI 1215308507 · Pharmacist · Chipley, FL
Provider details
- NPI number
- 1215308507
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- PS53899 (FL)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1110 Lost Lake Rd
Chipley, FL 32428-4379
Phone: (850) 326-0387
Approximate (ZIP-level) locationGet directions
Mailing address
1110 Lost Lake Rd
Chipley, FL 32428-4379
Registry dates
- Enumerated
- 2015-10-13
- Last updated
- 2015-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.