Individual
LAUREN SHULLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
9011 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73159-6932
(405) 692-1882
Mailing address
2456 SW 81ST ST, OKLAHOMA CITY, OK 73159-4950
(405) 201-4861
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14776
OK
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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