Individual
CRYSTAL SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
37 W MAIN ST, STAFFORD SPRINGS, CT 06076-1459
(860) 684-0015
Mailing address
95 HOCKANUM BLVD, UNIT 4401, VERNON, CT 06066-4099
(603) 703-9521
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13311
CT
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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