Individual
ALIA SHABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3360 PENTAGON BLVD, BEAVERCREEK, OH 45431-1702
(937) 426-7007
Mailing address
854 PINECREEK DR, DAYTON, OH 45458-2123
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03135407
OH
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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