Individual
JAINEEM SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6178 GOLDEN LN, WEST BLOOMFIELD, MI 48322-3198
(248) 592-1557
Mailing address
6178 GOLDEN LN, WEST BLOOMFIELD, MI 48322-3198
(248) 592-1557
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302035960
MI
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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