Individual
BRYAN D ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH.
Contact information
Practice address
124 COONROD AVE, MANNFORD, OK 74044-3437
(918) 865-2164
Mailing address
PO BOX 971, MANNFORD, OK 74044-0971
(918) 865-2164
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10957
OK
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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