Individual
AUDRINA LEE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
28460 HASKELL CANYON RD, SANTA CLARITA, CA 91390-5203
(661) 513-9240
(661) 513-9549
Mailing address
28460 HASKELL CANYON RD, SANTA CLARITA, CA 91390-5203
(661) 513-9240
(661) 513-9549
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
54805
CA
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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