Provider Demographics
NPI:1548260730
Name:SHAH, SNEHAL (PHARM D, RPH, CCP)
Entity type:Individual
Prefix:DR
First Name:SNEHAL
Middle Name:
Last Name:SHAH
Suffix:
Gender:M
Credentials:PHARM D, RPH, CCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 STILLWELL CT
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-5636
Mailing Address - Country:US
Mailing Address - Phone:908-447-7481
Mailing Address - Fax:
Practice Address - Street 1:13 STILLWELL CT
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-5636
Practice Address - Country:US
Practice Address - Phone:908-447-7481
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02781800183500000X, 1835P1200X, 1835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Not Answered1835P1300XPharmacy Service ProvidersPharmacistPsychiatric