Provider Demographics
NPI:1588848345
Name:SHAH, RINKY (RPH, CCP)
Entity Type:Individual
Prefix:MRS
First Name:RINKY
Middle Name:
Last Name:SHAH
Suffix:
Gender:F
Credentials:RPH, CCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1228 INDIAN PL
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-1630
Mailing Address - Country:US
Mailing Address - Phone:732-317-2954
Mailing Address - Fax:732-317-2954
Practice Address - Street 1:1228 INDIAN PL
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-1630
Practice Address - Country:US
Practice Address - Phone:732-317-2954
Practice Address - Fax:732-317-2954
Is Sole Proprietor?:No
Enumeration Date:2007-12-28
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02688500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist