Individual
MANISH YOGENDRA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 PEERY DR, FARMVILLE, VA 23901-2377
(434) 392-1639
Mailing address
407 SUNCHASE BLVD APT K, FARMVILLE, VA 23901-2898
(848) 482-0304
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202209593
VA
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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