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Individual
DR. DAVID QUENTIN SHAW JR.
Active
Individual
DR. DAVID QUENTIN SHAW JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PHA.0020409
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHA.0020409
COLORADO PHARMACIST LICENSE
CO
Enumeration date
04/05/2016
Last updated
04/05/2016
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