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Individual

TIMOTHY D MILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPH

Contact information

Practice address
1000 ROLLING HILLS LN, ADA, OK 74820-9415
(580) 436-3600
(580) 436-3958
Mailing address
PO BOX 637, ADA, OK 74821-0637
(580) 332-6639

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11626
OK

Other

Enumeration date
08/15/2006
Last updated
09/09/2015
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