IndividualActive
Rubin Shah, PHARM D
NPI 1104073600 · Geriatric Pharmacist · Palos Park, IL
Provider details
- NPI number
- 1104073600
- Entity type
- Individual
- Primary specialty
- Geriatric PharmacistPharmacy Service Providers
- Credential
- PHARM D
- Sex
- Male
- Sole proprietor
- Yes
- License
- 051.039437 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
10631 Grandview Dr
Palos Park, IL 60464-2580
Phone: (708) 334-4211
Approximate (ZIP-level) locationGet directions
Mailing address
10631 Grandview Dr
Palos Park, IL 60464-2580
Registry dates
- Enumerated
- 2008-08-26
- Last updated
- 2011-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.