Shanda R. Jackson
Shanda R. Jackson is a Pharmacist in Edmond, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2007
Practice location Address checks out
2312 Woodford WayEdmond, OK 73034-6444
Phone: (405) 340-1611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 10876 (OK) |
|---|
Record details
| NPI number | 1083767248 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 19, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 2312 Woodford Way, Edmond, OK 73034-6444 |
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-
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