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NPI Code Detail

MEDICARE: SANJIV SHETH RPH

MEDICARE: SANJIV SHETH RPH
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
1183500000XPharmacist047855-1NY

General Provider Information

NPI Number : 1396992020
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANJIV SHETH RPH
Provider Business Mailing Address
First Line : 1527 WESTCHESTER AVE
Second Line :
City : BRONX
State : NY
Zip : 10472-2908
Country : US
Telephone Number : 718-842-2777
Fax Number : 718-842-0077
Provider Business Practice Location Address
First Line : 1528 WESTCHESTER AVE
Second Line :
City : BRONX
State : NY
Zip : 10472-2908
Country : US
Telephone Number : 718-842-2777
Fax Number : 718-842-0077
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2008
Last Update Date : 11/15/2013

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