Individual
NICHOLAS GRANT ATHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
410 S 32ND ST, MUSKOGEE, OK 74401-5007
(918) 683-0611
Mailing address
315 N EDMOND ST, MUSKOGEE, OK 74403-3614
(229) 200-3605
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
22710
OK
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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