Individual
DANIEL JO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1427 N HARRISON AVE, SHAWNEE, OK 74801-5245
(405) 273-8520
Mailing address
1427 N HARRISON AVE, SHAWNEE, OK 74801-5245
(405) 273-8520
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17256
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17256
OKLAHOMA BOARD OF PHARMACY
OK
Enumeration date
09/08/2017
Last updated
09/08/2017
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