Individual
ANKIT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
13200 JAMBOREE RD, IRVINE, CA 92602-2307
(714) 838-7433
Mailing address
1546 MITCHELL AVE, TUSTIN, CA 92780-5825
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
67886
CA
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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