Kulsoom Shah
NPI #1245830330 in Montgomery, Illinois
Provider Information
- NPI Number
- 1245830330
- Entity Type
- Individual
- Name
- Kulsoom Shah
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Oct 28, 2020
- Last Updated
- Oct 28, 2020
Practice Location
- Address
- 2000 ORCHARD RD
- City
- Montgomery
- State
- Illinois
- ZIP Code
- 60538-1028
- Phone
- (630) 844-3509
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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