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Organization · Community/Retail Pharmacy · Mangum, OK

NPI
1821472739
Type
Organization (Type 2)
Primary specialty
Community/Retail Pharmacy (Pharmacy)
Specialty group
Suppliers
Taxonomy code
3336C0003X
License number
60-7375 (OK)
Enumerated
2015-07-10
Last updated
2016-10-24
Practice location
109 S Oklahoma Ave
Mangum, OK 73554-4219
(580) 782-2195

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