Mark Meacham, R.PH. Valid NPI
Individual provider · Pharmacist · Burns Flat, OK
- NPI
- 1023151404
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 9637 (OK)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-02-15
- Last updated
- 2007-07-08
Practice location
825 Sooner Drive
Burns Flat, OK 73624-0469
(580) 562-4868