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NPI Code Detail

MEDICARE: JANEL WALDROP RPH

MEDICARE: JANEL WALDROP RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist12571OK

General Provider Information

NPI Number : 1093475147
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANEL WALDROP RPH
Provider Business Mailing Address
First Line : 2417 MERLOT CT
Second Line :
City : EDMOND
State : OK
Zip : 73012-0929
Country : US
Telephone Number : 405-509-3569
Fax Number :
Provider Business Practice Location Address
First Line : 7001 NW 122ND ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73142-3924
Country : US
Telephone Number : 405-720-9790
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2021
Last Update Date : 12/29/2021

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