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Individual

CHARLES HEARON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHRAMD

Contact information

Practice address
302 UNIVERSITY PL, DURANT, OK 74701-7110
(580) 920-1145
Mailing address
306 BUTTERFIELD TRL, EDMOND, OK 73003-1036
(405) 664-5699

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13801
OK

Other

Enumeration date
09/11/2012
Last updated
09/11/2012
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