Individual
AVERY WIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
921 NE 13TH ST, PHARMACY SERVICE (119), OKLAHOMA CITY, OK 73104-5007
(405) 456-4132
Mailing address
921 NE 13TH ST, PHARMACY SERVICE (119), OKLAHOMA CITY, OK 73104-5007
(405) 456-4132
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15024
OK
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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