Individual
DR. RYAN RUSSELL SCHUPBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6455
(918) 342-6330
Mailing address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6455
(918) 342-6330
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
12872
OK
Other
Enumeration date
06/28/2005
Last updated
09/03/2008
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