Individual
GABRIEL JAMES BEADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2300 N 14TH ST, PONCA CITY, OK 74601-1729
(580) 767-1584
Mailing address
3625 BELLFLOWER AVE, PONCA CITY, OK 74604-4612
(405) 509-1010
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17841
OK
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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