Individual
MS. DEBRA E. SHAW
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R. PH.
Contact information
Practice address
523 MAIN ST, COSHOCTON, OH 43812-1628
(740) 622-2023
(740) 622-2906
Mailing address
175 N. 17TH STREET, COSHOCTON, OH 43812-1824
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-2-12742
OH
Other
Enumeration date
11/11/2005
Last updated
07/08/2007
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