MEDICARE: SHAHIN KAPASI

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	37524	SC

General Provider Information

NPI Number	:	1811403090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAHIN KAPASI

Provider Business Mailing Address
First Line	:	104 KELOY ST
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29301-2418
Country	:	US
Telephone Number	:	864-586-0334
Fax Number	:

Provider Business Practice Location Address
First Line	:	8951 VALLEY FALLS RD
Second Line	:
City	:	BOILING SPRINGS
State	:	SC
Zip	:	29316-5349
Country	:	US
Telephone Number	:	864-587-3730
Fax Number	:

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

Provider Enumeration Date	:	12/24/2017
Last Update Date	:	12/24/2017

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