Organization
PEARL SHAH LLC
Active
Other names
Saint Petersburg Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT KUMAR DHIMAN (MGRM)
(727) 389-5900
Entity
Organization
Contact information
Practice address
6399 38TH AVE N STE A5, SAINT PETERSBURG, FL 33710-1651
(727) 201-9500
(727) 201-9501
Mailing address
6399 38TH AVE N STE A5, SAINT PETERSBURG, FL 33710-1651
(727) 201-9500
(727) 201-9501
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PH27659
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PH27659
—
FL
Enumeration date
08/24/2017
Last updated
07/21/2022
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