Individual
MR. DARRELL WAYNE WOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
19305 NE CACHE RD, LAWTON, OK 73507-6125
(580) 248-4367
Mailing address
205 SW SHERIDAN RD, LAWTON, OK 73505-1518
(580) 248-0300
(580) 585-6513
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9232
OK
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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