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Shelo Justine Mutz, DPH
Pharmacist in Tahlequah, Oklahoma
NPI 1609038116

Shelo Justine Mutz is a Pharmacist based in Tahlequah, OK. Shelo Justine Mutz practices in Tahlequah, OK and has the professional credentials of DPH. The NPI Number for Shelo Justine Mutz is 1609038116 and holds a License No. 11832 (Oklahoma).

The current practice location address for Shelo Justine Mutz is 100 S Bliss Ave, Tahlequah, OK and can be reached out via phone at 918-458-3105 and via fax at 918-458-3508. You can also correspond with Shelo Justine Mutz through the mailing address at 509 RANSTEN ST, TAHLEQUAH, OK - 74464-4186 (mailing address contact number: 918-453-2750).

Location: 100 S Bliss Ave, Tahlequah, OK, 74464-4186
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609038116
Provider Name
Shelo Justine Mutz
Credential
DPH
Provider Entity Type
Individual
Gender
Female
Address
100 S Bliss Ave, Tahlequah, OK, 74464-4186
Phone Number
918-458-3105
Fax Number
918-458-3508
Provider Enumeration Date
06/26/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 S Bliss Ave
City
Tahlequah
State
Oklahoma
Zip
74464-2512
Phone Number
918-458-3105
Fax Number
918-458-3508
person
Provider Business Mailing Address Details
Address
509 Ransten St
City
Tahlequah
State
Oklahoma
Zip
74464-4186
Phone Number
918-453-2750
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
11832 (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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