Individual
DR. SHAWN ROBERT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
14049 AMARGOSA RD, VICTORVILLE, CA 92392-2493
(760) 515-2464
Mailing address
309 E 2ND ST, POMONA, CA 91766-1854
(909) 469-8363
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
77377
CA
Other
Enumeration date
11/10/2019
Last updated
03/16/2022
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