Individual
BRYAN GERARD SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
290 E JOHN CARPENTER FWY, IRVING, TX 75062-2730
(972) 830-1943
Mailing address
2626 THROCKMORTON ST APT 1127, DALLAS, TX 75219-3364
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
63284
TX
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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