Individual
BARBARA ANN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 MAIN ST, ROCHESTER, IN 46975-2659
(574) 223-4304
Mailing address
1910 MAIN ST, ROCHESTER, IN 46975-2659
(574) 223-4304
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26015164
IN
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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