Individual provider · Type 1 NPI

Wendell Shane Edmonson, PharmD

Pharmacist · Oklahoma City, OK

NPI number 1861100604 Active

Practice location

4300 W Memorial Rd
Oklahoma City, OK 73120-8362

Call (405) 752-3034 Map

Mailing address

294 Country Tyme Dr
Ozark, MO 65721-6503

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X2001029138 (MO)
Pharmacist Primary 183500000X12513 (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 1861100604

Wendell Shane Edmonson, PharmD's National Provider Identifier is 1861100604, issued on Nov 10, 2022. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Oklahoma City, OK. The record was last updated on Nov 10, 2022.