Shah, Purnima S.
Shah, Purnima S. is an sole proprietor health care provider with primary practice located at 570 Bloomfield Ave , Newark NJ 07107-1346. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Shah, Purnima S. can be contacted via phone (973) 482-6753.Contact Information
Primary practice address
570 Bloomfield Ave
Newark NJ 07107-1346
Phone: (973) 482-6753
Fax: (973) 482-0356
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 28RI01907400 | New Jersey |
Profile Details
| NPI number | 1699813295 |
|---|---|
| LBN Legal business name | Shah, Purnima S. |
| Credentials | RPH, PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699813295 | NPPES |
| New Jersey | Other | 28RI01907400 | PHARMACIST LIC # |
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