Individual
DANA TIM KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
591 S MILL ST, PRYOR, OK 74361-6015
(918) 825-5306
(918) 825-3151
Mailing address
591 S MILL ST, PRYOR, OK 74361-6015
(918) 825-5306
(918) 825-3151
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10160
OK
Other
Enumeration date
06/29/2013
Last updated
06/29/2013
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