Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANDA R. JACKSON
Active Sole ProprietorPharmacist · EDMOND, OK
Registration Details
- NPI Number
- 1083767248
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 19, 2007 (19.253727352057 yrs)
- Last Updated
- Jul 8, 2007
- License
-
10876 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2312 WOODFORD WAYEDMOND, OK, 730346444Browse OK providers · Browse ZIP 73034
- Phone
- 4053401611
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in EDMOND, OK
| Name | Credential | NPI |
|---|---|---|
| STEPHANIE HARRIS | DPH | 1679569610 |
| MR. ROGER GROSZ | B.S. | 1285714105 |
| MS. SHERI LEIGH STONER | PHARMD | 1235202193 |
| MRS. SUSAN LEE ISAACS | D.PH. | 1912066770 |
| LEE GILE | D.PH. | 1093874513 |
| MR. HOMER DUANE LAWRENCE | PD | 1821143215 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.