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Individual

MR. JOHN LEROY SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
37 HARRISVILLE ROAD, OGDEN, UT 84404
(801) 621-2532
Mailing address
4589 W. 1650 NORTH, PLAIN CITY, UT 84404
(801) 731-7674

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
294489-1701
UT

Other

Enumeration date
01/29/2007
Last updated
07/08/2007
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