Individual
DAKOTA DALE-RAY PAXSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.PH
Contact information
Practice address
2307 GORDON COOPER DR, SHAWNEE, OK 74801-9007
(866) 900-5236
(405) 214-1122
Mailing address
2307 GORDON COOPER DR, SHAWNEE, OK 74801-9007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19817
OK
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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