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Individual

DR. CLIFTON EUGENE SHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPH

Contact information

Practice address
6400 AIRPORT BLVD, MOBILE, AL 36608-3702
(251) 380-3188
(251) 344-5819
Mailing address
6755 MAUVILLA DR W, EIGHT MILE, AL 36613-9351
(251) 422-2500
(251) 679-8330

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7347
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7347
PHARMACIST REGISTRATION
AL
Enumeration date
05/23/2007
Last updated
07/08/2007
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