Individual
MR. SHAH MOHAMMED YAHYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
390 W MAIN ST UNIT A, CRISFIELD, MD 21817
(410) 968-1660
(410) 968-9102
Mailing address
390 W MAIN ST, CRISFIELD, MD 21817-1329
(410) 968-1660
(410) 968-9102
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14326
MD
183500000X
Pharmacist
RP043949R
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003150000
—
MD
05
—
010166268
—
VA
01
—
14326
PHARMACY LICENSE NUMBER
MD
01
—
408862000
MEDICAID DME
MD
Enumeration date
09/27/2006
Last updated
08/26/2021
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