Dr Andrea J Self, DPH is a
Pharmacist based in Muldrow, Oklahoma. Dr Andrea J Self is licensed to practice in Oklahoma (license number 12140) and her current practice location is
710 E Shawntell Smith Blvd, Muldrow, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(918) 427-3243.
NPI number for Dr Andrea J Self is 1720206576 and her current mailing address is Po Box 1109, Muldrow, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720206576.
Healthcare Provider's Profile
| Full Name | Dr Andrea J Self |
|---|
| Gender | Female |
|---|
| Speciality | Pharmacist |
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| Location | 710 E Shawntell Smith Blvd, Muldrow, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720206576
- Provider Enumeration Date: 04/24/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Andrea J Self such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720206576 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 12140 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Andrea J Self is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Andrea J Self, DPH
Po Box 1109,
Muldrow, OK 74948-1109
Ph: (918) 427-3243 | Dr Andrea J Self, DPH
710 E Shawntell Smith Blvd,
Muldrow, OK 74948
Ph: (918) 427-3243 |
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