Individual
BHAVINKUMAR SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
178-180 LYONS AVE, NEWARK, NJ 07112
(973) 926-9701
Mailing address
889 EDWARDS RD, APT # D-25, PARSIPPANY, NJ 07054-4233
(201) 888-0487
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RIO3667400
NJ
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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