Individual
MR. SHANE R MITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
31 HALL DR, AMHERST, MA 01002-2751
(413) 256-1428
(413) 256-1466
Mailing address
31 HALL DR, AMHERST, MA 01002-2751
(413) 256-1428
(413) 256-1466
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23317
MA
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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