Individual
KIRTI MUKESHKUMAR SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
1555 S AVENUE B, YUMA, AZ 85364-4324
(928) 519-0208
Mailing address
11724 E 28TH PL, YUMA, AZ 85367-3603
(617) 971-6906
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S021497
AZ
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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