Organization
M SHAWN ANDERSON RPH PC
Active
Other names
ANDERSON PHARMACY AND ACCENTS
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SHAWN ANDERSON RPH (PIC, PRESIDENT)
(580) 595-9500
Entity
Organization
Contact information
Practice address
5366 NW CACHE RD, SUITE 1, LAWTON, OK 73505-3335
(580) 595-9500
(580) 585-6524
Mailing address
5366 NW CACHE RD, SUITE 1, LAWTON, OK 73505-3335
(580) 595-9500
(580) 585-6524
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
35177
OK
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100246120A
—
OK
01
—
2076300
PK
—
Enumeration date
01/16/2007
Last updated
07/23/2024
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