Individual
MRS. SHARON M. OLIPHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 S BRYANT AVE, EDMOND, OK 73034-6327
(405) 348-1678
Mailing address
1501 OLDE WATERFRONT, EDMOND, OK 73034-4965
(405) 359-0325
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13219
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0154480001
—
OK
Enumeration date
02/15/2007
Last updated
07/08/2007
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