Individual
MR. ROBERT A. SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
3220 WISCONSIN AVE, SUITE A, JOPLIN, MO 64804-4047
(417) 626-8180
(417) 626-8176
Mailing address
3220 WISCONSIN AVE, SUITE A, JOPLIN, MO 64804-4047
(417) 626-8180
(417) 626-8176
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
028676
MO
183500000X
Pharmacist
Primary
1-09230
KS
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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