Individual
MR. KEVIN MICHAEL SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
440 S MAIN ST, PHILIPPI, WV 26416-0015
(304) 457-4233
Mailing address
1263 BRIERCLIFF RD, BRIDGEPORT, WV 26330-1303
(304) 629-7718
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0006193
WV
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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