Individual
DR. GORDON SMITH RICHARDS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.PH
Contact information
Practice address
1102 W MACARTHUR ST, SHAWNEE, OK 74804-1743
(405) 878-3435
(405) 878-3497
Mailing address
15 E FRANKLIN ST, SHAWNEE, OK 74804-2917
(405) 275-0764
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7123
OK
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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