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Individual

DR. SHANA HOLLOPETER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
4500 N COOPER AVE, OKLAHOMA CITY, OK 73118-7803
(180) 094-0996
Mailing address
7711 NW 113TH PL, OKLAHOMA CITY, OK 73162-2542

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14571
OK
183500000X
Pharmacist
14751
KY
183500000X
Pharmacist
36316
TN
183500000X
Pharmacist
67976
CA

Other

Enumeration date
02/25/2012
Last updated
09/11/2012
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