Provider Demographics
NPI:1346961828
Name:SHAW, APRIL MARIE (RPH, PHARMD)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:MARIE
Last Name:SHAW
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5182 REYNOLDS RD
Mailing Address - Street 2:
Mailing Address - City:CENTERBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43011-9677
Mailing Address - Country:US
Mailing Address - Phone:740-504-6068
Mailing Address - Fax:
Practice Address - Street 1:4111 EXECUTIVE PKWY STE 100
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-3800
Practice Address - Country:US
Practice Address - Phone:614-898-3294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-05
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH031275031835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist