Shaner, Samuel Kenneth

Shaner, Samuel Kenneth is an individual health care provider with primary practice located at 7448 W Thunderbird Rd , Peoria AZ 85381-6069. He recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as his primary health care specialty. Shaner, Samuel Kenneth can be contacted via phone (623) 979-0558.

Contact Information

Primary practice address
7448 W Thunderbird Rd Peoria AZ 85381-6069
Phone: (623) 979-0558
Fax: (623) 979-9281
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X T073006 Arizona

Profile Details

NPI number 1366192882
LBN Legal business name Shaner, Samuel Kenneth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2022
Last updated Mar 27th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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