Individual
MR. ABHAYKUMAR SOBHAGCHAND SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.(PHARM)
Contact information
Practice address
6745 NORTH CURCH AVE, MULBERRY, FL 33860
(863) 701-8049
Mailing address
5318 HIDDEN OAKS DR, LAKELAND, FL 33811-4064
(863) 709-8335
(863) 709-8335
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS36495
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000291
NCPDP
FL
01
—
PS36495
STATE LICENSE
FL
Enumeration date
03/05/2007
Last updated
03/07/2023
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