Individual
MR. MICHAEL D STOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
1213 N GLENN L ENGLISH ST, CORDELL, OK 73632-2009
(580) 832-3714
(580) 832-3331
Mailing address
121 W TAHOE DR, CORDELL, OK 73632-4844
(580) 832-3960
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9069
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33-3415
OK BOARD OF PHARMACY
OK
Enumeration date
08/10/2006
Last updated
03/07/2023
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