Individual
MR. KYLE B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
901 OKLAHOMA AVE, WOODWARD, OK 73801-4659
(580) 254-2142
(580) 254-3947
Mailing address
901 OKLAHOMA AVE, WOODWARD, OK 73801-4659
(580) 254-2142
(580) 254-3947
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12566
OK
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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