Individual
JEREMIAH HADAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4300 SE 29TH ST, DEL CITY, OK 73115-3312
(405) 677-5519
(405) 677-7357
Mailing address
4300 SE 29TH ST, DEL CITY, OK 73115-3312
(405) 677-5519
(405) 677-7357
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15829
OK
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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