Individual
MR. MARK MEACHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
825 SOONER DRIVE, BURNS FLAT, OK 73624-0469
(580) 562-4868
(580) 562-4581
Mailing address
825 SOONER DR., PO BOX 469, BURNS FLAT, OK 73624-0469
(580) 562-4868
(580) 562-4581
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9637
OK
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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