Individual
DHARA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
58 HAZELTON ST, RIDGEFIELD PARK, NJ 07660-1142
(201) 316-3169
Mailing address
110 NEWARK AVE, JERSEY CITY, NJ 07302-2903
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03658900
NJ
Other
Enumeration date
09/09/2014
Last updated
12/16/2022
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