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NPI Code Detail

MEDICARE: PINANK PRAKASHBHAI SHAH

MEDICARE: PINANK PRAKASHBHAI SHAH
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
1183500000XPharmacistRPH022832GA

General Provider Information

NPI Number : 1558480905
Entity Type Code : Individual
Provider Name (Legal Business Name) : PINANK PRAKASHBHAI SHAH
Provider Business Mailing Address
First Line : 2147 SILVER LINDEN LN
Second Line :
City : BUFFALO GROVE
State : IL
Zip : 60089-6631
Country : US
Telephone Number : 404-992-3764
Fax Number :
Provider Business Practice Location Address
First Line : 3147 W CERMAK RD
Second Line :
City : CHICAGO
State : IL
Zip : 60623-3307
Country : US
Telephone Number : 773-521-7422
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 07/10/2023

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Directions to “ PINANK PRAKASHBHAI SHAH ” Practice Location

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