Individual
MICHAEL SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
618 FAIRVIEW RD, SIMPSONVILLE, SC 29680-6707
(845) 492-7354
Mailing address
618 FAIRVIEW RD, SIMPSONVILLE, SC 29680-6707
(845) 492-7354
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43595
SC
Other
Enumeration date
08/23/2022
Last updated
04/10/2023
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