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Penny D Southern, DPH
Pharmacist in Shawnee, Oklahoma
NPI 1659307460

Penny D Southern is a Pharmacist based in Shawnee, OK. Penny D Southern practices in Shawnee, OK and has the professional credentials of DPH. The NPI Number for Penny D Southern is 1659307460 and holds a License No. 10652 (Oklahoma).

The current practice location address for Penny D Southern is 2307 S Gordon Cooper Dr, Shawnee, OK and can be reached out via phone at 405-273-5236 and via fax at 405-273-2392.

Location: 2307 S Gordon Cooper Dr, Shawnee, OK, 74801-9007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659307460
Provider Name
Penny D Southern
Credential
DPH
Provider Entity Type
Individual
Gender
Female
Address
2307 S Gordon Cooper Dr, Shawnee, OK, 74801-9007
Phone Number
405-273-5236
Fax Number
405-273-2392
Provider Enumeration Date
06/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10652 01 OK STATE BOARD OF PHARMACY #
institution
Provider Business Practice Location Address Details
Address
2307 S Gordon Cooper Dr
City
Shawnee
State
Oklahoma
Zip
74801-9007
Phone Number
405-273-5236
Fax Number
405-273-2392
person
Provider Business Mailing Address Details
Address
2307 S Gordon Cooper Dr
City
Shawnee
State
Oklahoma
Zip
74801-9007
Phone Number
405-273-5236
Fax Number
405-273-2392
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
10652 (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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