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1194002469
SHIV R PERTAB
BERKELEY, CA
NPI
1194002469
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Other Name
CHEVY R PERTAB
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA RPH56386)
Enumeration Date
2011-11-14
Last Update Date
2011-11-14
Business Address
MR. SHIV R PERTAB RPH
2310 TELEGRAPH AVE
BERKELEY, CA 94704-1613
Phone number: 510-848-5121
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Mailing Address
MR. SHIV R PERTAB RPH
1230 MARKET ST # 324
SAN FRANCISCO, CA 94102-4801
Phone number: 510-848-5121
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