Individual
NIKUNJ SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2103 GAUSE BLVD E, SLIDELL, LA 70461-4229
(985) 643-5743
Mailing address
2103 GAUSE BLVD E, SLIDELL, LA 70461-4229
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.022442
LA
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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