MEDICARE: PAMELA WANGIA NJIKAM 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
1	183500000X	Pharmacist	15362	OK

General Provider Information

NPI Number	:	1669863973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA WANGIA NJIKAM RPH

Provider Business Mailing Address
First Line	:	1024 SW 44TH ST STE 700
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73109-3618
Country	:	US
Telephone Number	:	405-632-0519
Fax Number	:	405-632-0503

Provider Business Practice Location Address
First Line	:	1024 SW 44TH ST STE 700
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73109-3618
Country	:	US
Telephone Number	:	405-632-0519
Fax Number	:	405-632-0503

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2015
Last Update Date	:	02/09/2015

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