Individual provider · Type 1 NPI

Madinah Ihsan Shaw

Pharmacist · Kennesaw, GA

NPI number 1649615543 Active

Practice location

4360 Bells Ferry Rd NW
Kennesaw, GA 30144-1354

Mailing address

862 Exposition Pointe
Marietta, GA 30067-1900

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRPH031279 (GA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1649615543

Madinah Ihsan Shaw's National Provider Identifier is 1649615543, issued on May 6, 2013. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Kennesaw, GA. The record was last updated on Oct 28, 2026.