Individual
MR. ALI R SHABANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1400 E 2ND ST, EDMOND, OK 73034-5321
(405) 216-9672
(405) 216-9660
Mailing address
1132 NW 140TH ST, EDMOND, OK 73013-1601
(405) 227-7818
(405) 216-9660
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10603
OK
Other
Enumeration date
09/14/2011
Last updated
09/07/2023
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