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Julian Shah

Pharmacist in Westmont, IL. Individual provider (NPI-1).

NPI number1376990804
StatusActive
Last updated in NPPESMay 13, 2016

Details

NPI
1376990804
Entity type
Individual (NPI-1)
Name
Julian Shah
Sex
Male
Sole proprietor
No
Enumeration date
May 13, 2016
Last updated
May 13, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist051.290547ILYes

Practice location

4 E Ogden Ave
Westmont, IL 60559-3506

Phone 630-986-8065

Mailing address

4 E Ogden Ave
Westmont, IL 60559-3506

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