Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shelo Justine Mutz, DPH

Individual provider Pharmacist · NPI 1609038116

Shelo Justine Mutz, DPH is a Pharmacist in Tahlequah, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2008.

Licensed in
OK
In the registry since
2008

Practice location Address checks out

100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone: (918) 458-3105
Fax: (918) 458-3508
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 11832 (OK)

Record details

NPI number1609038116
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPH
Sole proprietorNo
NPI enumeratedJune 26, 2008
Last updated in NPPESJune 26, 2008

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