Individual
DR. JUSTUN KUKUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
119 N MAIN ST, BLACKWELL, OK 74631-2226
(580) 363-2137
Mailing address
119 N MAIN ST, BLACKWELL, OK 74631-2226
(580) 363-2137
(580) 363-5582
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17957
OK
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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