Shanda R. Jackson
Pharmacist · Edmond, OK
Practice location
2312 Woodford WayEdmond, OK 73034-6444
- Phone
- (405) 340-1611
NPI record
- NPI
- 1083767248
- Entity type
- Individual (Type 1)
- Enumeration date
- January 19, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X |
10876 | OK |
About Shanda Jackson
Shanda R. Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 2312 Woodford Way, Edmond, OK 73034-6444. The NPI number 1083767248 was assigned on January 19, 2007 and the record was last updated on July 8, 2007.
Shanda Jackson lists a license in the registry: #10876 (OK) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Shanda R. Jackson?
The NPI number is 1083767248.
What is the phone number of Shanda Jackson?
The phone number listed for the practice location is (405) 340-1611.
Where is Shanda Jackson located?
2312 Woodford Way, Edmond, OK 73034-6444.
What is the taxonomy code for Shanda Jackson?
The primary taxonomy code is 183500000X – Pharmacist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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