Individual
JOHN DOUGLAS LASSITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
102 W NOBLE AVE, GUTHRIE, OK 73044-3123
(405) 282-7800
(405) 282-2244
Mailing address
102 W NOBLE AVE, GUTHRIE, OK 73044-3123
(405) 282-7800
(405) 282-2244
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
32-5603
OK
1835P1200X
Pharmacotherapy Pharmacist
32-5603
OK
Other
Enumeration date
12/27/2010
Last updated
12/27/2010
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