Individual
MR. GIRISH R SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12721 MORENO BEACH DR, MORENO VALLEY, CA 92555-4411
(951) 242-6599
(951) 242-5991
Mailing address
12721 MORENO BEACH DR, MORENO VALLEY, CA 92555-4411
(951) 242-6599
(951) 242-5991
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
43657
CA
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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