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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAMTA SHAH

Active Sole Proprietor

Pharmacist · MIRA LOMA, CA

Registration Details

NPI Number
1093092520
Provider Type
Individual
Gender
Female
NPI Issued
Nov 11, 2011 (14.459813751012 yrs)
Last Updated
Nov 11, 2011
License
57777 (CA)
Sole Proprietor
Yes

Practice Information

Address
12471 LIMONITE AVE
T1961
MIRA LOMA, CA, 917522457
Browse CA providers · Browse ZIP 91752
Phone
9512565262
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in MIRA LOMA, CA

Name Credential NPI
SANDY SHEA PHARM.D. 1669772174
TUONG QUANG LE PHARM.D. 1255636833
PHUONGTAM NGOC NGUYEN PHARM.D. 1982980967
ERNEST ANETEY ABBEY PHARMD. 1184035354
ABIGAIL AKRONG PHARMD. 1124433081
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.