Individual
BENJAMIN E SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 CENTER ST, TAMAQUA, PA 18252-1918
(570) 668-0290
(570) 668-2454
Mailing address
36 RYAN AVE, TAMAQUA, PA 18252-4100
(570) 668-3542
(570) 668-2454
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0044835L
PA
Other
Enumeration date
12/31/2020
Last updated
08/31/2021
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