Individual
BARRY MICHAEL SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS IN PHARMACY
Contact information
Practice address
57646 29 PALMS HWY, YUCCA VALLEY, CA 92284
(760) 228-2043
Mailing address
8289 PALOMAR AVE, YUCCA VALLEY, CA 92284
(760) 228-2043
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27791
CA
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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