Individual
DR. DREW MANGRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
977 W WILL ROGERS BLVD, CLAREMORE, OK 74017-5040
(918) 341-1184
(918) 341-6800
Mailing address
977 W WILL ROGERS BLVD, CLAREMORE, OK 74017-5040
(918) 341-1184
(918) 341-6800
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16117
OK
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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