Individual
DR. VICKY SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCPS
Contact information
Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(847) 826-0834
Mailing address
117 EAGLE CT, WILKES BARRE, PA 18706-3048
(847) 826-0834
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
22516
MD
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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