Individual
MICHAEL SHAWN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
6734 NW CACHE RD, LAWTON, OK 73505-2702
(580) 595-9500
Mailing address
7614 NW WILLOW CREEK, LAWTON, OK 73505
(580) 536-3882
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12672
OK
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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