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Individual

DYLAN D SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6716 MOUNT ZION BLVD, MORROW, GA 30260-3026
(770) 960-0600
Mailing address
5660 GROVE PLACE XING SW, LILBURN, GA 30047-6552
(678) 790-0493

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH030724
GA

Other

Enumeration date
11/25/2020
Last updated
11/25/2020
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