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Individual

MRS. HEATHER NICOLE SCHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1106 W WILLOW RD, ENID, OK 73703-2599
(580) 234-4343
Mailing address
4613 CHISHOLM CRK, ENID, OK 73701-6554
(574) 250-8188

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
26026823A
IN
183500000X
Pharmacist
PST.022293
LA
183500000X
Pharmacist
Primary
R-19047
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26026823A
INDIANA BOARD OF PHARMACY-PHARMACIST LICENSE
IN
01
MA.004075
LOUISIANA BOARD OF PHARMACY-MA LICENSE
LA
01
PST.022293
LOUISIANA BOARD OF PHARMACY-PHARMACIST
01
R-19047
OKLAHOMA STATE BOARD OF PHARMACY
OK
Enumeration date
08/19/2016
Last updated
09/20/2021
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