Individual
ARDEN THEODORE SHAMBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
300 HOLLOW RD, NEWPORT, PA 17074-7338
(717) 582-8785
Mailing address
300 HOLLOW RD, NEWPORT, PA 17074-7338
(717) 582-8785
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP021823L
PA
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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