NPI 1245830330

Kulsoom Shah

Practitioner Pharmacist Montgomery, IL

Practice location

Address: 2000 Orchard Rd, Montgomery, IL 60538-1028
Phone: (630) 844-3509
Mailing address: 2601 Midland Dr, Naperville, IL 60564-8513

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 051294277 (IL)

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Registry record

NPI: 1245830330
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Oct 2020
Record last updated: 28 Oct 2020

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.