Individual
JITESH SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18460 N 7TH ST, PHOENIX, AZ 85022-1108
(602) 993-5781
(602) 993-1291
Mailing address
1265 E UNIVERSITY DR, APT 2039, TEMPE, AZ 85281-8426
(480) 751-9342
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S018496
AZ
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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