Shane Matthew Parks

NPI #1407574429 in Medina, Ohio

Provider Information

NPI Number: 1407574429
Entity Type: Individual
Name: Shane Matthew Parks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 16, 2022
Last Updated: Aug 16, 2022

Practice Location

Address: 1015 N COURT ST
City: Medina
State: Ohio
ZIP Code: 44256-1582
Phone: (330) 725-2706

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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