Individual
AMANDA SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42 MAPLE ST, HARVEYS LAKE, PA 18618-2254
(570) 836-0110
Mailing address
42 MAPLE ST, HARVEYS LAKE, PA 18618-2254
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP450679
PA
Other
Enumeration date
08/29/2018
Last updated
05/08/2023
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