Individual
ANGELA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
331 VERANDA ST, PORTLAND, ME 04103-5545
(207) 791-3756
(207) 828-2495
Mailing address
331 VERANDA ST, PORTLAND, ME 04103-5545
(207) 791-3756
(207) 828-2495
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5015
ME
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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