Individual
KHUSHBU SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
326 MAIN STREET, SOUTHINGTON, CT 06489
(860) 621-1996
Mailing address
326 MAIN ST, SOUTHINGTON, CT 06489-2508
(860) 062-1199
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0013843
CT
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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