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Individual

DR. DHARMESH SHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1201 S MAIN ST, CROWN POINT, IN 46307-8481
(219) 757-6370
Mailing address
1201 S MAIN ST, CROWN POINT, IN 46307-8481

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023728A
IN
183500000X
Pharmacist
PS47369
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051294605
BOARD OF PHARMACY
IL
01
26023728A
BOARD OF PHARMACY
IN
01
PS47369
BOARD OF PHARMACY
FL
Enumeration date
10/12/2018
Last updated
01/08/2020
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