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Individual

SHANE WINSTON NORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
11819 W HAYWARD RD, DRUMMOND, OK 73735-1098
(580) 493-2947
Mailing address
11819 W HAYWARD RD, DRUMMOND, OK 73735-1098
(580) 493-2947

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13364
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13364
PHARMACIST LICENSE
OK
Enumeration date
04/03/2007
Last updated
07/08/2007
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