Individual
JIMMY R. POFAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 SE WASHINGTON BLVD, BARTLESVILLE, OK 74006-8232
(918) 333-9140
Mailing address
916 N 12TH ST, COLLINSVILLE, OK 74021-1821
(918) 371-6710
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8529
OK
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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