Individual
SAMUEL EARL SHEARER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH., BCGP
Contact information
Practice address
101 E. MAIN STREET, RIDGWAY, IL 62979
(619) 272-3841
(618) 272-3851
Mailing address
PO BOX 146, RIDGWAY, IL 62979-0146
(618) 272-3841
(618) 272-3851
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
051.289758
IL
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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