Individual
SHANON GOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
1301 E DOWNING ST, TAHLEQUAH, OK 74464-3350
(918) 456-2233
(918) 456-6264
Mailing address
1301 E DOWNING ST, TAHLEQUAH, OK 74464-3350
(918) 456-2233
(918) 456-6264
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15274
OK
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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