Individual
GERRY OQUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
72928 S 330 RD, WAGONER, OK 74467-9420
(918) 485-9036
Mailing address
72928 S 330 RD, WAGONER, OK 74467-9420
(918) 485-9036
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
10837
OK
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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