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Mr. Charlie Shackelford, BSPHARM
Pharmacist in Nowata, Oklahoma
NPI 1598853137

Charlie Shackelford is a Pharmacist based in Owasso, OK. Charlie Shackelford practices in Nowata, OK and has the professional credentials of BSPHARM. The NPI Number for Charlie Shackelford is 1598853137 and holds a License No. 12586 (Oklahoma).

The current practice location address for Charlie Shackelford is 1020 Lenape Dr, Nowata, OK and can be reached out via phone at 918-273-7552 and via fax at 918-273-3234.

Location: 1020 Lenape Dr, Nowata, OK, 74055-2580
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598853137
Provider Name
Charlie Shackelford
Credential
BSPHARM
Provider Entity Type
Individual
Gender
Male
Address
1020 Lenape Dr, Nowata, OK, 74055-2580
Phone Number
918-273-7552
Fax Number
918-273-3234
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12586 01 OK STATE LICENCE NUMBER
institution
Provider Business Practice Location Address Details
Address
1020 Lenape Dr
City
Nowata
State
Oklahoma
Zip
74048-4403
Phone Number
918-273-7552
Fax Number
918-273-3234
person
Provider Business Mailing Address Details
Address
1020 Lenape Dr
City
Nowata
State
Oklahoma
Zip
74048-4403
Phone Number
918-273-7552
Fax Number
918-273-3234
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
12586 (Oklahoma)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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