Individual
WUTI CHAINAKUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 W DANFORTH RD, EDMOND, OK 73003-4600
(405) 216-0525
(405) 216-0534
Mailing address
2200 W DANFORTH RD, EDMOND, OK 73003-4600
(405) 216-0525
(405) 216-0534
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12606
OK
Other
Enumeration date
10/31/2020
Last updated
10/31/2020
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