Andrea J. Self, DPH

Pharmacist · Muldrow, OK

Individual Active NPI

NPI number 1720206576

Practice location

710 E Shawntell Smith Blvd
Muldrow, OK 74948
Phone
(918) 427-3243
Fax
(918) 427-6678

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NPI record

NPI
1720206576
Entity type
Individual (Type 1)
Enumeration date
April 24, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 12140 OK

Mailing address

PO Box 1109
Muldrow, OK 74948-1109
Phone
(918) 427-3243
Fax
(918) 427-6678

About Andrea Self

Andrea J. Self, DPH is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 710 E Shawntell Smith Blvd, Muldrow, OK 74948. The NPI number 1720206576 was assigned on April 24, 2007 and the record was last updated on July 8, 2007.

Andrea Self lists a license in the registry: #12140 (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 Andrea J. Self, DPH?

The NPI number is 1720206576.

What is the phone number of Andrea Self?

The phone number listed for the practice location is (918) 427-3243.

Where is Andrea Self located?

710 E Shawntell Smith Blvd, Muldrow, OK 74948.

What is the taxonomy code for Andrea Self?

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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