Mickie Dean Charmasson, PHARMACIST Valid NPI
Individual provider · Pharmacist · Woodward, OK
- NPI
- 1437710449
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 9611 (OK)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2019-06-21
- Last updated
- 2019-06-21
Practice location
2116 Oklahoma Ave
Woodward, OK 73801-4258
(580) 254-3504