Individual
ADAM OMAR SHANAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4134 N 44TH ST, PHOENIX, AZ 85018-4217
(602) 954-9119
Mailing address
600 N 4TH ST APT 521, PHOENIX, AZ 85004
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020384
AZ
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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