Individual
MR. KETAN H SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS RPH
Contact information
Practice address
153 WOOD AVE, EDISON, NJ 08820-3504
(732) 318-3046
(732) 379-5760
Mailing address
153 WOOD AVE, EDISON, NJ 08820-3504
(732) 318-3046
(732) 379-5760
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02170800
NJ
183500000X
Pharmacist
PS27026
FL
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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