MEDICARE: ZANKHANA 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
1	183500000X	Pharmacist	15499	NC

General Provider Information

NPI Number	:	1760750756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZANKHANA SHAH

Provider Business Mailing Address
First Line	:	951 DAVIE AVE
Second Line	:
City	:	STATESVILLE
State	:	NC
Zip	:	28677-5301
Country	:	US
Telephone Number	:	704-380-3800
Fax Number	:

Provider Business Practice Location Address
First Line	:	951 DAVIE AVE
Second Line	:
City	:	STATESVILLE
State	:	NC
Zip	:	28677-5301
Country	:	US
Telephone Number	:	704-873-6216
Fax Number	:	704-873-9279

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2011
Last Update Date	:	12/06/2011

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Directions to “ ZANKHANA SHAH ” Practice Location

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