Provider Demographics
NPI:1891674008
Name:PATEL, MONA GHANSHYAMBHAI
Entity type:Individual
Prefix:
First Name:MONA
Middle Name:GHANSHYAMBHAI
Last Name:PATEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:HARTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29550-3058
Mailing Address - Country:US
Mailing Address - Phone:847-848-5122
Mailing Address - Fax:
Practice Address - Street 1:1005 S GOVERNOR WILLIAMS HWY
Practice Address - Street 2:
Practice Address - City:DARLINGTON
Practice Address - State:SC
Practice Address - Zip Code:29532-5657
Practice Address - Country:US
Practice Address - Phone:843-393-2679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC60759183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist