Individual
MRS. MARIE CATHERINE WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.PH.
Contact information
Practice address
2120 S 4TH ST, CHICKASHA, OK 73018-6810
(405) 222-0278
(405) 222-0693
Mailing address
2120 S 4TH ST, CHICKASHA, OK 73018-6810
(405) 222-0278
(405) 222-0693
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11285
OK
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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