Individual
AUSTIN HARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4500 S SHIELDS BLVD, OKLAHOMA CITY, OK 73129-3206
(405) 631-3561
Mailing address
2202 BROOK DR, CHOCTAW, OK 73020-7249
(405) 532-1858
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15768
OK
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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