Andrea J Self, DPH Valid NPI

Individual provider · Pharmacist · Muldrow, OK

NPI

1720206576

Type

Individual (Type 1)

Primary specialty

Pharmacist

Specialty group

Pharmacy Service Providers

Taxonomy code

183500000X

License number

12140 (OK)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-04-24

Last updated

2007-07-08