Shaley Gupta

NPI #1720620289 in Coto De Caza, California

Provider Information

NPI Number: 1720620289
Entity Type: Individual
Name: Shaley Gupta
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 16, 2019
Last Updated: Oct 16, 2019

Practice Location

Address: 21 CENTAURUS WAY
City: Coto De Caza
State: California
ZIP Code: 92679
Phone: (630) 890-5374

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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