Individual
MR. RICK WAYNE MCCUMBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
1900 N 14TH ST, PONCA CITY, OK 74601-2035
(580) 765-0430
(580) 765-0348
Mailing address
211 N 6TH ST, PONCA CITY, OK 74601-4544
(580) 765-0430
(580) 765-0348
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11602
OK
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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