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1679778088
PREM SURESH SHAH
TAMPA, FL
NPI
1679778088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1835P1200X Pharmacist Pharmacotherapy
(Licence: FL PS40176)
Enumeration Date
2007-06-16
Last Update Date
2007-07-08
Business Address
DR. PREM SURESH SHAH PHARMD
13046 RACE TRACK RD #112
TAMPA, FL 33626-1302
Phone number: 352-256-1074
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Mailing Address
DR. PREM SURESH SHAH PHARMD
13046 RACE TRACK RD #112
TAMPA, FL 33626-1302
Phone number: 352-256-1074
Copy
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