Individual
DR. DAVID QUENTIN SHAW JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4567 E 9TH AVE, PHARMACY DEPARTMENT, DENVER, CO 80220-3908
(303) 320-2167
(303) 320-2999
Mailing address
4567 E 9TH AVE, PHARMACY DEPARTMENT, DENVER, CO 80220-3908
(303) 320-2167
(303) 320-2999
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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