Individual
SHANNON DIANE GRIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
131 S PAUL CARR DR, CHECOTAH, OK 74426-2063
(405) 343-6771
Mailing address
37402 GARRETTS LAKE RD, SHAWNEE, OK 74804-9479
(405) 203-3584
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12329
OK
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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