Individual
GLENN RUSTY REX
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
RR 2 BOX 247, STROUD, OK 74079-9652
(918) 968-9531
(918) 968-0113
Mailing address
4202 W 18TH AVE, STILLWATER, OK 74074-1603
(405) 747-8999
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
20503
TX
183500000X
Pharmacist
Primary
8894
OK
Other
Enumeration date
09/16/2005
Last updated
07/08/2007
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