Individual
DR. RANDALL F SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3333 CLARK ST, ALAMOSA, CO 81101-2050
(719) 589-9021
Mailing address
2801 GRACE CT., ALAMOSA, CO 81101
(515) 249-3737
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19068
CO
183500000X
Pharmacist
21624
IA
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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