Provider Demographics
NPI:1366044471
Name:SHAH, ALOK KIRITKUMAR (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:ALOK
Middle Name:KIRITKUMAR
Last Name:SHAH
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7751 SHAVANO LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-6707
Mailing Address - Country:US
Mailing Address - Phone:832-867-9769
Mailing Address - Fax:
Practice Address - Street 1:13003 TOMBALL PKWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77086-3122
Practice Address - Country:US
Practice Address - Phone:281-668-2883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX49024183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist