Individual
JAYSHREE SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
100 OUTLET POINT BLVD, COLUMBIA, SD 29210
(803) 772-0403
(803) 750-5738
Mailing address
100 OUTLET POINT BLVD, COLUMBIA, SD 29210
(803) 772-0403
(803) 750-5738
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8508
SC
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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