NPI 1124675012

Keya Shah

Practitioner Pharmacist Commerce Township, MI

Practice location

Address: 3050 Union Lake Rd, Commerce Township, MI 48382-4509
Phone: (248) 363-4392
Mailing address: 5358 Bellaggio Crescent, Mississauga, ONTARIO 509

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 5302411812 (MI)

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Registry record

NPI: 1124675012
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Aug 2019
Record last updated: 24 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.