Individual
MR. JOHN ROBERT SHIREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1213 STAFFORD DR, PRINCETON, WV 24740-2465
(304) 487-1155
(304) 487-1991
Mailing address
69 GREEN ACRES, PRINCETON, WV 24740-9441
(304) 487-1155
(304) 487-1991
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2979
WV
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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