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1437406139
RANDALL F SHAW
ALAMOSA, CO
NPI
1437406139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CO 19068)
Additional Taxonomies
183500000X Pharmacist
(Licence: IA 21624)
Enumeration Date
2012-08-13
Last Update Date
2012-08-13
Business Address
Dr. RANDALL F SHAW PharmD
3333 CLARK ST
ALAMOSA, CO 81101-2050
Phone number: 719-589-9021
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Mailing Address
Dr. RANDALL F SHAW PharmD
2801 GRACE CT.
ALAMOSA, CO 81101
Phone number: 515-249-3737
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