Individual
DR. AN SHAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1809 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-3119
(215) 426-0956
Mailing address
134 N 52ND ST, PHILADELPHIA, PA 19139-2602
(347) 820-0410
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP451847
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP
PHARMACIST LICENSE
PA
Enumeration date
09/21/2017
Last updated
09/21/2017
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