Individual
DR. DALE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9390 N SCARLET CANYON DR, TUCSON, AZ 85743-5138
(503) 957-9993
Mailing address
9390 N SCARLET CANYON DR, TUCSON, AZ 85743-5138
(503) 957-9993
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0007589
OR
183500000X
Pharmacist
Primary
S021072
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH-0007589
PHARMACY LICENSE
OR
01
—
S021072
PHARMACY LICENSE
AZ
Enumeration date
07/08/2015
Last updated
07/08/2015
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