Provider Demographics
NPI:1821019597
Name:SHAH, SWATI R (RPH)
Entity Type:Individual
Prefix:
First Name:SWATI
Middle Name:R
Last Name:SHAH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2530 VALLEY VIEW RD
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-2261
Mailing Address - Country:US
Mailing Address - Phone:215-750-6735
Mailing Address - Fax:
Practice Address - Street 1:2530 VALLEY VIEW RD
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-2261
Practice Address - Country:US
Practice Address - Phone:215-750-6735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP034864L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist