Individual
MR. MARK WAYNE WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
3 DAKOTA PL, MUSKOGEE, OK 74403-7753
(918) 682-0664
Mailing address
3 DAKOTA PL, MUSKOGEE, OK 74403-7753
(918) 682-0664
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11179
OK
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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