MR. Charlie Shackelford, BS PHARM

NPI #1598853137 in Nowata, Oklahoma

Provider Information

NPI Number: 1598853137
Entity Type: Individual
Name: MR. Charlie Shackelford, BS PHARM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: BS PHARM
Enumeration Date: Oct 10, 2006
Last Updated: Jan 24, 2012

Practice Location

Address: 1020 LENAPE DR
City: Nowata
State: Oklahoma
ZIP Code: 74048-4403
Phone: (918) 273-7552

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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