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NPI Code Detail

MEDICARE: PARSHVA SHAH PHARM D

MEDICARE:   PARSHVA  SHAH  PHARM D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist051302995IL

General Provider Information

NPI Number : 1700474533
Entity Type Code : Individual
Provider Name (Legal Business Name) : PARSHVA SHAH PHARM D
Provider Business Mailing Address
First Line : 1519 WHITE ST
Second Line :
City : DES PLAINES
State : IL
Zip : 60018-1740
Country : US
Telephone Number : 773-402-9639
Fax Number :
Provider Business Practice Location Address
First Line : 1325 E IRVING PARK RD
Second Line :
City : ITASCA
State : IL
Zip : 60143-2300
Country : US
Telephone Number : 630-875-0244
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2021
Last Update Date : 01/07/2021

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Directions to “ PARSHVA SHAH PHARM D” Practice Location

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