Individual
MR. ASHISH K SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S. PHARMACY
Contact information
Practice address
1903 STATE ROAD 60 E, LAKE WALES, FL 33853-4329
(863) 676-9496
(863) 678-1829
Mailing address
6123 MISSION DR, LAKELAND, FL 33813-0816
(863) 647-9028
(863) 678-1829
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5302034040
MI
183500000X
Pharmacist
Primary
PS37285
FL
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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