Robert Thomas Shaw in Marissa - Pharmacist

Robert Thomas Shaw - NPI 1215025002

Robert Thomas Shaw is a Pharmacist in Marissa, Illinois. Robert Thomas Shaw practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Robert Thomas Shaw is 1215025002. The last update date is 2023-03-07.

Robert Thomas Shaw's current location address is 219 N Main St, Marissa, Illinois. You can contact this provider via phone number 6182952241 and fax number 6182953669. The mailing address for Robert Thomas Shaw is 219 N Main St, Marissa, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Thomas Shaw
Address 219 N Main St, Marissa, Illinois
Phone Number 6182952241
Fax Number 6182953669
Sole Proprietor Y
Credentials RPH

NPI Number Detail

NPI Number 1215025002
Provider Enumeration Date 2006-10-10
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 219 N Main St
City Marissa
State Illinois (IL)
Post Code 622571343
Phone Number 6182952241
Fax Number 6182953669

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Definition:
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1424504 IL NAPB NUMBER
371089281001 IL --

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FAQs about Robert Thomas Shaw

What is the unique identifier code issued to Robert Thomas Shaw by the Centers for Medicare & Medicaid Services?

The Robert Thomas Shaw has been assigned the NPI (National Provider Identifier) 1215025002. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Robert Thomas Shaw's facilities are geographically located?

The facilities of Robert Thomas Shaw are physically situated at the following location: 219 N Main St, Marissa, IL, 622571343.

What is Robert Thomas Shaw's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Robert Thomas Shaw is Pharmacist, and the taxonomy code that classifies this field of practice is 183500000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1215025002 to Robert Thomas Shaw?

The Centers for Medicare & Medicaid Services originally issued the 1215025002 to Robert Thomas Shaw on 2006-10-10.

As of what date was the information regarding Robert Thomas Shaw, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Robert Thomas Shaw, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-07.

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