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Individual

KATHARINE RENEE SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
2232 ADDISON PL NW, ATLANTA, GA 30318-3522
(404) 621-8163
Mailing address
2232 ADDISON PL NW, ATLANTA, GA 30318-3522
(404) 621-8163

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH024930
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RPH024930
PHARMACIST LICENSE #
GA
Enumeration date
11/06/2018
Last updated
11/06/2018
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