Individual
CARYEN LEEMARIE FERGESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
119 N MAIN ST, BLACKWELL, OK 74631-2226
(580) 363-2137
(580) 363-5582
Mailing address
1025 W COOLIDGE AVE, BLACKWELL, OK 74631-4709
(580) 363-2178
(580) 363-5582
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10732
OK
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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