# SHIV PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MLK Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275908113
- **Authorized official:** PARESH PATEL (PHARMACIST)
- **Authorized official phone:** (912) 662-0300

## Contact information

- **Practice address:** 718 MARTIN LUTHER KING JR BLVD STE A, SAVANNAH, GA 31401-5570
- **Practice address phone:** (912) 662-0300
- **Practice address fax:** (912) 662-0302
- **Mailing address:** 718 MARTIN LUTHER KING JR BLVD, SUITE A, SAVANNAH, GA 31401-5570
- **Mailing address phone:** (912) 662-0300
- **Mailing address fax:** (912) 662-0302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE010203 | GA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 12/03/2015
- **Last updated:** 01/22/2016