Individual
NICHOLAS WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
201 S MUSTANG RD, YUKON, OK 73099-6686
(405) 324-8170
Mailing address
201 S MUSTANG RD, YUKON, OK 73099-6686
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15438
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15438
PHARMACIST LICENSE NUMBER
OK
Enumeration date
04/05/2018
Last updated
06/16/2018
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