Individual
DR. JEFFREY SCOTT TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
328 6TH, PERRY, OK 73077-7020
(580) 336-2136
Mailing address
12 WILSHIRE, PERRY, OK 73077
(405) 397-6911
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14550
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14550
OSBP
OK
Enumeration date
12/15/2011
Last updated
12/15/2011
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