Individual
MR. ROBERT ALLEN MCGOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
109 KERR AVENUE, POTEAU, OK 74953
(918) 649-1100
(918) 649-1102
Mailing address
109 KERR AVENUE, POTEAU, OK 74953
(918) 649-1100
(918) 649-1102
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9636
OK
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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