Individual
DR. ANNETTE L PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.PH.
Contact information
Practice address
1305 W CHEROKEE ST, WAGONER, OK 74467-4625
(918) 485-6688
(918) 485-6684
Mailing address
1305 W CHEROKEE ST, WAGONER, OK 74467-4625
(918) 485-6688
(918) 485-6684
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12212
OK
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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