Individual provider · Type 1 NPI

Shanda R. Jackson

Pharmacist · Edmond, OK

NPI number 1083767248 Active

Practice location

2312 Woodford Way
Edmond, OK 73034-6444

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X10876 (OK)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1083767248

Shanda R. Jackson's National Provider Identifier is 1083767248, issued on Jan 19, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Edmond, OK. The record was last updated on Jul 8, 2007.