PENNY SOUTHERN, DPH
Pharmacist
Active
Individual
NPI: 1659307460
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Pharmacist | 183500000X | Yes | 10652 (OK) |
Frequently Asked Questions
NPI 1659307460 is the National Provider Identifier for PENNY SOUTHERN, DPH, a Pharmacist provider located in Shawnee, OK. This NPI was enumerated on June 23, 2006.
PENNY SOUTHERN, DPH practices at 2307 S GORDON COOPER DR, Shawnee, OK 74801.
Quick Facts
- NPI
- 1659307460
- Type
- Individual
- Enumerated
- Jun 23, 2006
- Last Updated
- Jul 8, 2007
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