Individual
EDWARD SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1045 SAINT LOUIS STREET, WALGREENS 12417, BATESVILLE, AR 72501
(870) 307-0262
Mailing address
1045 SAINT LOUIS STREET, WALGREENS 12417, BATESVILLE, AR 72501
(870) 307-0262
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD09209
AR
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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