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1174737258
JACOB JOHNSTON SHAW
HENDERSONVILLE, NC
NPI
1174737258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NC 17021)
Enumeration Date
2007-05-09
Last Update Date
2007-07-08
Business Address
-- JACOB JOHNSTON SHAW
605 5TH AVE W
HENDERSONVILLE, NC 28739-4205
Phone number: 828-692-4266
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Mailing Address
-- JACOB JOHNSTON SHAW
210 HUTCH MOUNTAIN RD
FLETCHER, NC 28732-8707
Phone number: 828-692-4266
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