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Individual

DR. STEPHEN SCOTT SHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
2301 N 219TH ST W, ANDALE, KS 67001-9521
(678) 481-6392
Mailing address
2301 N 219TH W, ANDALE, KS 67001
(678) 481-6392

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH023700
GA

Other

Enumeration date
12/13/2010
Last updated
12/13/2010
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