Individual
DR. PEGGY LYNN SHIMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
2300 N 14TH ST, PONCA CITY, OK 74601-1729
(580) 767-1584
(580) 767-1083
Mailing address
2300 N. 14TH STREET, PONCA CITY, OK 74601-1729
(580) 767-1584
(580) 767-1083
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9399
OK
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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