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NPI Code Detail

MEDICARE: MS. CONNIE ELIZABETH SHAWLER RPH

MEDICARE: MS. CONNIE ELIZABETH SHAWLER RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist8368AZ

General Provider Information

NPI Number : 1255666442
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CONNIE ELIZABETH SHAWLER RPH
Provider Business Mailing Address
First Line : 7812 E SPEEDWAY BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85710-1649
Country : US
Telephone Number : 520-885-3540
Fax Number : 520-298-9264
Provider Business Practice Location Address
First Line : 7812 E SPEEDWAY BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85710-1649
Country : US
Telephone Number : 520-885-3540
Fax Number : 520-298-9264
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2009
Last Update Date : 10/06/2009

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