Individual
SAMUEL KENNETH SHANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7448 W THUNDERBIRD RD, PEORIA, AZ 85381-6069
(623) 979-0558
(623) 979-9281
Mailing address
7448 W THUNDERBIRD RD, PEORIA, AZ 85381-6069
(623) 979-0558
(623) 979-9281
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T073006
AZ
Other
Enumeration date
03/27/2022
Last updated
03/27/2022
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