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Individual
LEAH SHAW
Active
Individual
LEAH SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PR12595
ME
183500000X
Pharmacist
Primary
PS49179
FL
183500000X
Pharmacist
PU7162
FL
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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