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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. SHANNAN DENISE WIDEMAN, PHARM.D.

Active Sole Proprietor

MRS. SHANNAN DENISE WIDEMAN, PHARM.D. is a Pharmacist healthcare provider located in EDMOND, Oklahoma. NPI 1255778452 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · EDMOND, OK

Registration Details

NPI Number
1255778452
Provider Type
Individual
Gender
Female
NPI Issued
May 29, 2013 (13.233027825638 yrs)
Last Updated
May 29, 2013
Licenses
34908 (TX)
13911 (OK)
Sole Proprietor
Yes

Practice Information

Address
701 FOX RUN TRL
EDMOND, OK, 730347360
Browse OK providers · Browse ZIP 73034
Phone
4054711250
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist

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
SHANDA R. JACKSON 1083767248
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.