Most Relevant Information
Provider Data
| NPI Number: | 1003320318 |
| Provider Name: | SUHANI SHAIL SHAH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 051300513 |
Most Important Dates
| Enumeration Date: | 11/22/2017 |
| Last Updated: | 03/17/2018 |
Provider Practice Location
BROADWAY AVE PHARMACY
151 N 19TH AVE
MELROSE PARK
IL
60090
Practice Location Phone/Fax
| Phone: | 7084500400 |
| Fax: |
Provider Mailing Location
545 GREENVIEW LANE
WHEELING
IL
60090
Provider Mailing Phone/Fax
| Phone: | 2243108325 |
| Fax: |