Deepakkumar Shah

NPI #1922608157 in St Johns, Florida

Provider Information

NPI Number: 1922608157
Entity Type: Individual
Name: Deepakkumar Shah
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 27, 2020
Last Updated: Oct 27, 2020

Practice Location

Address: 845 DURBIN PAVILION DR
City: St Johns
State: Florida
ZIP Code: 32259-4119
Phone: (904) 417-9675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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