Kirti Z Shah INC
Pharmacy, Community/Retail Pharmacy in El Centro, CA. Organization (NPI-2).
NPI number1922441682
StatusActive
Last updated in NPPESSep 3, 2013
Details
- NPI
- 1922441682
- Entity type
- Organization (NPI-2)
- Legal business name
- Kirti Z Shah INC
- Organization subpart
- No
- Enumeration date
- Apr 12, 2013
- Last updated
- Sep 3, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHY51446 | CA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Desert Medical Pharmacy #2 (Doing Business As)
Practice location
401 W Main StEl Centro, CA 92243-3006
Phone 760-592-4442 · Fax 760-592-4652
Mailing address
401 W Main StEl Centro, CA 92243-3006
Phone 760-592-4442 · Fax 760-592-4652
Authorized official
Kirti Shah
Owner / Pic
7605924442
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