Mattison Shepherd

Pharmacist · Moore, OK

Individual Active NPI

NPI number 1871343210

Practice location

1705 S Broadway St
Moore, OK 73160-5355
Phone
(405) 300-6028

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NPI record

NPI
1871343210
Entity type
Individual (Type 1)
Enumeration date
March 26, 2024
Last updated
March 26, 2024
Certified
March 26, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 20459 OK

About Mattison Shepherd

Mattison Shepherd is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1705 S Broadway St, Moore, OK 73160-5355. The NPI number 1871343210 was assigned on March 26, 2024 and the record was last updated on March 26, 2024.

Mattison Shepherd lists a license in the registry: #20459 (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 Mattison Shepherd?

The NPI number is 1871343210.

What is the phone number of Mattison Shepherd?

The phone number listed for the practice location is (405) 300-6028.

Where is Mattison Shepherd located?

1705 S Broadway St, Moore, OK 73160-5355.

What is the taxonomy code for Mattison Shepherd?

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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