Individual
TROY SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
328 N 6TH ST, PERRY, OK 73077-6607
(580) 336-2136
(580) 336-9445
Mailing address
616 N ROCK CT, STILLWATER, OK 74075-8817
(405) 372-4882
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12299
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12299
OKLAHOMA PHARMACY #
OK
Enumeration date
02/27/2007
Last updated
02/25/2013
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