Individual
MARCIA A SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4901 STATE ROAD 26 E, LAFAYETTE, IN 47905-4611
(765) 449-9233
(765) 449-9265
Mailing address
4901 STATE ROAD 26 E, LAFAYETTE, IN 47905-4611
(765) 449-9233
(765) 449-9265
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
26018391A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26018391A
PHARMACIST LICENSE
IN
Enumeration date
05/21/2014
Last updated
05/21/2014
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