Andrea Southerland, DPH

NPI #1972106359 in Lawton, Oklahoma

Provider Information

NPI Number: 1972106359
Entity Type: Individual
Name: Andrea Southerland, DPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: DPH
Enumeration Date: Nov 18, 2020
Last Updated: Nov 18, 2020

Practice Location

Address: 205 SW SHERIDAN RD
City: Lawton
State: Oklahoma
ZIP Code: 73505-1518
Phone: (580) 248-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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