Dr. Shane Anand Persaud, PHARMD
Pharmacist in Valley Stream, NY. Individual provider (NPI-1).
NPI number1164059119
StatusActive
Last updated in NPPESFeb 15, 2022
Details
- NPI
- 1164059119
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shane Anand Persaud
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2020
- Certification date
- Feb 15, 2022
- Last updated
- Feb 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 068783 | NY | Yes |
Practice location
900 Franklin AveValley Stream, NY 11580-2145
Phone 516-256-6000
Mailing address
11546 117th StSouth Ozone Park, NY 11420-2329
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