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1942604889
NISHA SHAH
PORTALES, NM
NPI
1942604889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NM RP0008103)
Enumeration Date
2014-10-21
Last Update Date
2017-02-02
Business Address
Mrs. NISHA SHAH Rph
1604 E SPRUCE ST
PORTALES, NM 88130-9489
Phone number: 703-421-8949
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Mailing Address
Mrs. NISHA SHAH Rph
1604 E SPRUCE ST
PORTALES, NM 88130-9489
Phone number: 703-421-8949
Copy
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