Individual
MR. CARL E SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
296 CHURCH ST, PETROLIA, PA 16050-0354
(724) 756-4050
(724) 756-4060
Mailing address
296 CHURCH ST, PO BOX 354, PETROLIA, PA 16050-0354
(724) 756-4050
(724) 756-4060
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP038470L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP038470L
PA STATE PHARMACY LICENSE
PA
Enumeration date
08/16/2005
Last updated
01/24/2012
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