Individual provider · Type 1 NPI

Glenn D. Shaw, R.PH.

Pharmacist · Jackson, MS

NPI number 1003911314 Active

Practice location

1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116

Call (601) 364-1555 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XE-07155 (MS)

Pharmacist: 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 modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1003911314

Glenn D. Shaw, R.PH.'s National Provider Identifier is 1003911314, issued on Sep 13, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Jackson, MS. The record was last updated on Jul 8, 2007.