Individual
MR. MANISH H SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 CRAIN HWY S, GLEN BURNIE, MD 21061-5577
(410) 760-1570
(410) 760-1575
Mailing address
12311 SILVER CUP CT, REISTERSTOWN, MD 21136-6479
(443) 794-4554
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12857
MD
Other
Enumeration date
04/18/2015
Last updated
04/18/2015
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