Individual
DR. SHAWN EVAN ANDRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 CHESTERFIELD PL, OKLAHOMA CITY, OK 73179-6019
(405) 745-5004
(405) 745-5004
Mailing address
3500 CHESTERFIELD PL, OKLAHOMA CITY, OK 73179-6019
(405) 745-5004
(405) 745-5004
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202210139
VA
183500000X
Pharmacist
1-14985
KS
183500000X
Pharmacist
Primary
10547
OK
183500000X
Pharmacist
17848
NV
183500000X
Pharmacist
2010038516
MO
183500000X
Pharmacist
27756
TX
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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