Individual
JONATHAN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
515 S MAIN ST, LEITCHFIELD, KY 42754-1133
(270) 259-5720
Mailing address
515 S MAIN ST, LEITCHFIELD, KY 42754-1133
(270) 259-5720
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017039
KY
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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