Individual
AGNES I SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6021 S CENTRAL AVE, PHOENIX, AZ 85042-4234
(602) 276-1191
Mailing address
6021 S CENTRAL AVE, PHOENIX, AZ 85042-4234
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S022997
AZ
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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