Individual
MRS. SHAWNDA KAY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
112 E STATE HIGHWAY 152, MUSTANG, OK 73064-4402
(405) 376-3751
(405) 376-0854
Mailing address
112 E STATE HIGHWAY 152, MUSTANG, OK 73064-4402
(405) 376-3751
(405) 376-0854
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11429
OK
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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