Individual
DR. GARY WILLIS MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
905 S MAIN ST, SHATTUCK, OK 73858-9205
(580) 938-2551
(580) 938-2659
Mailing address
905 S MAIN ST, SHATTUCK, OK 73858-9205
(580) 938-2551
(580) 938-2659
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
10455
KS
183500000X
Pharmacist
Primary
8840
OK
Other
Enumeration date
11/08/2005
Last updated
10/24/2007
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