DR. Andrea J Self, DPH

NPI #1720206576 in Muldrow, Oklahoma

Provider Information

NPI Number: 1720206576
Entity Type: Individual
Name: DR. Andrea J Self, DPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: DPH
Enumeration Date: Apr 24, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 710 E SHAWNTELL SMITH BLVD
City: Muldrow
State: Oklahoma
ZIP Code: 74948
Phone: (918) 427-3243

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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