Individual
NATHAN COLWELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
4901 S MILL ST, PRYOR, OK 74361-6837
(918) 825-3663
(918) 825-4141
Mailing address
7525 N 439 RD, ADAIR, OK 74330-2222
(918) 724-6283
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17079
OK
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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