Individual
DUSTIN SHEARER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1233 SOM CENTER RD, MAYFIELD HEIGHTS, OH 44124-2050
(440) 461-1416
Mailing address
1233 SOM CENTER RD, MAYFIELD HEIGHTS, OH 44124-2050
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03337640
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03337640
OHIO STATE BOARD OF PHARMACY
OH
Enumeration date
08/06/2018
Last updated
08/06/2018
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