Individual
MR. SHANNON TODD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.PH
Contact information
Practice address
1427 N HARRISON ST, SHAWNEE, OK 74801-5245
(405) 273-8520
(405) 273-0542
Mailing address
24 REDBUD RD, SHAWNEE, OK 74801-8765
(405) 388-5701
(405) 273-0542
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11730
OK
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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