Individual
BRENT SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1975 S ALMA SCHOOL RD, CHANDLER, AZ 85286-6905
(480) 722-1780
(480) 722-1872
Mailing address
1975 S ALMA SCHOOL RD, CHANDLER, AZ 85286-6905
(480) 722-1780
(480) 722-1872
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S010810
AZ
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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