Shaw, Angela

Shaw, Angela is an individual health care provider with primary practice located at 1001 N Country Club Rd , Ada OK 74820-2847. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Shaw, Angela can be contacted via phone (580) 421-4570.

Contact Information

Primary practice address
1001 N Country Club Rd Ada OK 74820-2847
Fax: (580) 421-6283
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 6949 Oklahoma

Profile Details

NPI number 1992886824
LBN Legal business name Shaw, Angela
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jul 23rd, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992886824 NPPES
Oklahoma Other 6949 OK LICENSE

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