Individual
ANKIT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1285 TALON WAY, MELBOURNE, FL 32934-3259
(321) 626-2679
Mailing address
1285 TALON WAY, MELBOURNE, FL 32934-3259
(321) 626-2679
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5302034761
MI
183500000X
Pharmacist
Primary
PS38620
FL
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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