Individual
NIKITA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(630) 297-9307
Mailing address
10300 W BLUEMOUND RD APT 106, WAUWATOSA, WI 53226-4338
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19391-40
WI
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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