Individual
AMAR JAYESH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
414 W LAKE ST, ADDISON, IL 60101-2305
(630) 543-0988
Mailing address
414 W LAKE ST, ADDISON, IL 60101-2305
(630) 543-0988
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.301807
IL
183500000X
Pharmacist
19655-40
WI
Other
Enumeration date
02/21/2020
Last updated
04/20/2025
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