Individual provider · Type 1 NPI

Andrea J. Self, DPH

Pharmacist · Muldrow, OK

NPI number 1720206576 Active

Practice location

710 E Shawntell Smith Blvd
Muldrow, OK 74948

Fax (918) 427-6678

Mailing address

PO Box 1109
Muldrow, OK 74948-1109

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X12140 (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 1720206576

Andrea J. Self, DPH's National Provider Identifier is 1720206576, issued on Apr 24, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Muldrow, OK. The record was last updated on Jul 8, 2007.