Provider Demographics
NPI:1578330510
Name:KAWAL, SHIVANEE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHIVANEE
Middle Name:
Last Name:KAWAL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3148 WATERSIDE CIR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-6404
Mailing Address - Country:US
Mailing Address - Phone:561-376-6160
Mailing Address - Fax:
Practice Address - Street 1:3148 WATERSIDE CIR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-6404
Practice Address - Country:US
Practice Address - Phone:561-376-6160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS64497183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist