Organization
PEARL SHAH LLC
Active
Other names
Saint Petersburg Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT DHIMAN (MGR)
(727) 389-5900
Entity
Organization
Contact information
Practice address
6399 38TH AVE N STE A5, ST PETERSBURG, FL 33710-1651
(727) 201-9500
Mailing address
6399 38TH AVE N, SUITE A-5, ST PETERSBURG, FL 33710-1647
(727) 258-8354
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH27659
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149350
PK
—
Enumeration date
01/06/2015
Last updated
03/08/2017
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