Provider Demographics
NPI:1427461631
Name:SHAH, HIREN (PHARM-D)
Entity type:Individual
Prefix:
First Name:HIREN
Middle Name:
Last Name:SHAH
Suffix:
Gender:M
Credentials:PHARM-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 N MARKET ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19802-2215
Mailing Address - Country:US
Mailing Address - Phone:302-762-1127
Mailing Address - Fax:302-762-4627
Practice Address - Street 1:3801 N MARKET ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19802-2215
Practice Address - Country:US
Practice Address - Phone:302-762-1127
Practice Address - Fax:302-762-4627
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-05
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0004347183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist