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Individual

CHARLES REID SCHNORRENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
300 S HIGHWAY 77, MARIETTA, OK 73448
(580) 276-5349
Mailing address
300 S HIGHWAY 77, MARIETTA, OK 73448
(580) 276-5349

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8259
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8259
STATE LICENSE NUMBER
OK
Enumeration date
11/24/2006
Last updated
07/08/2007
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