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Individual

SHANNON DAWN BREWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DOCTOR OF PHARMACY

Contact information

Practice address
7050 AIR DEPOT BLVD, TINKER AFB, OK 73145-8716
(405) 582-6325
(405) 736-2890
Mailing address
7050 AIR DEPOT BLVD BLDG 1094, TINKER AFB, OK 73145-8716
(405) 582-6325
(405) 736-2890

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
10372
OK
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
10372
OK

Other

Enumeration date
07/30/2007
Last updated
03/07/2022
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