Individual
MRS. SHELLY CRISTINE MCGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
1419 N COUNTRY CLUB RD, ADA, OK 74820-1836
(580) 332-4755
Mailing address
805 MANN DR, ADA, OK 74820-1139
(580) 436-4146
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11527
OK
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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