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Andrea Self, DPH
NPI 1720206576 · on the registry since 2007 · sole proprietor
Practice
- Address
- 710 E Shawntell Smith Blvd
Muldrow, OK 74948 - Phone
- (918) 427-3243
- Fax
- (918) 427-6678
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma