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NPI Code Detail

MEDICARE: RANDALL PATRICK SHARP PHARM.D.

MEDICARE:   RANDALL PATRICK SHARP  PHARM.D.
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
11835P1200XPharmacotherapy Pharmacist12562OK

General Provider Information

NPI Number : 1881895514
Entity Type Code : Individual
Provider Name (Legal Business Name) : RANDALL PATRICK SHARP PHARM.D.
Provider Business Mailing Address
First Line : 100 CAMPUS DR
Second Line :
City : WEATHERFORD
State : OK
Zip : 73096-3001
Country : US
Telephone Number : 405-691-4665
Fax Number :
Provider Business Practice Location Address
First Line : 10413 GREENBRIAR PKWY
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73159-7656
Country : US
Telephone Number : 405-691-4665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2007
Last Update Date : 10/12/2007

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Directions to “ RANDALL PATRICK SHARP PHARM.D.” Practice Location

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