Individual
MRS. CAMI MARIE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
2111 ADAMS AVE, LA GRANDE, OR 97850
(541) 663-2706
Mailing address
2111 ADAMS AVENUE, LA GRANDE, OR 97850
(541) 910-3635
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0016204
OR
Other
Enumeration date
06/15/2017
Last updated
09/11/2017
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