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NPI 1194723015

IndividualActive

Jamie Shaddon, PHARMD

NPI 1194723015 · Pharmacotherapy Pharmacist · Clinton, OK

Provider details

NPI number: 1194723015
Entity type: Individual
Primary specialty: Pharmacotherapy PharmacistPharmacy Service Providers
Credential: PHARMD
Sex: Female
Sole proprietor: No
License: 10604 (OK)

Practice location

Rr 1 Box 3060

Clinton, OK 73601-9303

Phone: (580) 323-2884

Fax: (580) 323-2579

More OK providers

Mailing address

331 Shale Crst

Clinton, OK 73601-3647

Registry dates

Enumerated: 2005-07-13
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Jamie Shaddon, PHARMD — NPI 1194723015, Clinton, OK | NPI Central