Individual
TOMMY W SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PD
Contact information
Practice address
1966 HIGHWAY 65 S, CLINTON, AR 72031-6796
(501) 745-2888
Mailing address
1966 HIGHWAY 65 S, CLINTON, AR 72031-6796
(501) 745-2888
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PDO1693
AR
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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