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Individual

DR. DUSTY JAMES ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1201 S BELMONT AVE, BAKER BUILDING SUITE 106, OKMULGEE, OK 74447-6351
(918) 758-9498
(918) 756-2464
Mailing address
1201 S BELMONT AVE STE 106, OKMULGEE, OK 74447-6351
(918) 756-9906
(918) 756-2464

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13783
OK
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
13783
OK

Other

Enumeration date
07/02/2007
Last updated
07/13/2021
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