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1659307460
PENNY D SOUTHERN
SHAWNEE, OK
NPI
1659307460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 10652)
Enumeration Date
2006-06-23
Last Update Date
2007-07-08
Business Address
-- PENNY D SOUTHERN DPh
2307 S GORDON COOPER DR
SHAWNEE, OK 74801-9007
Phone number: 405-273-5236
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Mailing Address
-- PENNY D SOUTHERN DPh
2307 S GORDON COOPER DR
SHAWNEE, OK 74801-9007
Phone number: 405-273-5236
Copy
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