Individual
MRS. ALICE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 AVIATION BLVD, REDONDO BEACH, CA 90278-2810
(310) 376-4460
(310) 379-2136
Mailing address
81 SADDLEBACK RD, ROLLING HILLS, CA 90274-5156
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
38542
CA
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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