Individual
TARIQ SHOAIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7990 E US HIGHWAY 36, AVON, IN 46123-7790
(317) 272-0242
Mailing address
7990 E US HIGHWAY 36, AVON, IN 46123-7790
(317) 272-0242
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021588A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2401159436
DLN
IN
Enumeration date
12/01/2020
Last updated
12/01/2020
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