Individual
SHATAYA LEIGH BUXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
68 SPRING ST, LOCK HAVEN, PA 17745-1911
(570) 271-5594
Mailing address
904 CAMPBELL ST APT 111, WILLIAMSPORT, PA 17701-3166
(570) 506-1285
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
RP457011
PA
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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