Individual
DANIELLE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27-41 GANSEVOORT RD, SOUTH GLENS FALLS, NY 12803
(518) 798-2847
Mailing address
27-41 GANSEVOORT RD, SOUTH GLENS FALLS, NY 12803
(518) 798-2847
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
048634
NY
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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