PRATIK R SHAH

WACO, TX
NPI1841708518
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: TX  59225)
Additional Taxonomies183500000X Pharmacist
(Licence: NC  27212)
Enumeration Date2018-01-16
Last Update Date2018-06-16
Business Address
PRATIK R SHAH
5210 BAGBY AVE APT 121
WACO, TX 76711-2309
Phone number: 832-420-4361
Mailing Address
PRATIK R SHAH
5210 BAGBY AVE APT NO121
WACO, TX 76711-2308
Phone number: 832-420-4361