Individual
GARY ROSS WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1151 N BRYANT AVE, EDMOND, OK 73034-3251
(405) 844-4404
(405) 844-4407
Mailing address
10960 S BROADWAY, EDMOND, OK 73034-8685
(405) 205-1604
(405) 844-4407
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10695
OK
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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