Organization
AJ GOKUL NILKANTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JINAL SHAH (OWNER)
(832) 843-7105
Entity
Organization
Contact information
Practice address
28455 TOMBALL PKWY, TOMBALL, TX 77375-3307
(832) 843-7105
Mailing address
28455 TOMBALL PKWY, TOMBALL, TX 77375-3307
(832) 843-7105
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31344
TEXAS BOARD OF PHARMACY LICENSE
TX
Enumeration date
07/30/2020
Last updated
03/07/2023
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