Individual
DR. CHARITY DAWN EARNHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6489
(918) 342-6330
Mailing address
11506 N 150TH E AVE, OWASSO, OK 74055
(918) 371-8780
(918) 371-8780
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
13300
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13300
PHARM D
OK
Enumeration date
02/26/2007
Last updated
07/08/2007
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