Leah Shan, PharmD
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Vincennes, IN. Individual provider (NPI-1).
NPI number1124672829
StatusActive
Last updated in NPPESJul 31, 2019
Details
- NPI
- 1124672829
- Entity type
- Individual (NPI-1)
- Name
- Leah Shan
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2019
- Last updated
- Jul 31, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 26024929A | IN | Yes |
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 051.296031 | IL |
Practice location
515 Bayou StVincennes, IN 47591-1034
Phone 812-886-0907
Mailing address
1820 Gregory DrOlney, IL 62450-3041
Phone 618-919-1055
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