Individual
STACY SCHRADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2330 CHANDLER RD, MUSKOGEE, OK 74403-4627
(918) 681-4910
Mailing address
32704 E 142ND ST S, COWETA, OK 74429-6090
(918) 348-9409
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12559
OK
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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