Individual
SHANNA LYNN LUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.PH.
Contact information
Practice address
535 NW 9TH ST, OKLAHOMA CITY, OK 73102-1070
(405) 231-2133
Mailing address
535 NW 9TH ST, OKLAHOMA CITY, OK 73102-1070
(405) 231-2133
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12222
OK
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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