Individual
BEEJAL MUKUND SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1501 KINGS HIGHWAY, SHREVEPORT, LA 71103
(318) 675-5176
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-5176
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
49312
TX
183500000X
Pharmacist
Primary
PST.018817
LA
Other
Enumeration date
09/23/2009
Last updated
08/20/2014
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