Organization
HEALTH SHOPPE LLC
Active
Other names
Life Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHONARA AWAD RPH (OWNER)
(732) 485-3078
Entity
Organization
Contact information
Practice address
1260 W COVELL RD, SUITE 124, EDMOND, OK 73003-3555
(405) 562-4242
(405) 562-4535
Mailing address
1260 W COVELL RD, SUITE 124, EDMOND, OK 73003-3555
(405) 562-4242
(405) 562-4535
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1-6790
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200559050
—
OK
01
—
2146599
PK
—
Enumeration date
06/25/2014
Last updated
11/14/2025
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