Individual provider · Type 1 NPI
Shannan Denise Wideman, PharmD
Pharmacist · Edmond, OK
Practice location
701 Fox Run Trl
Edmond, OK 73034-7360
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist | 183500000X | 34908 (TX) |
| Pharmacist Primary | 183500000X | 13911 (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 1255778452
Shannan Denise Wideman, PharmD's National Provider Identifier is 1255778452, issued on May 29, 2013. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Edmond, OK. The record was last updated on May 29, 2013.