Individual
TERRY LEE VARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
131 S PAUL CARR DR, CHECOTAH, OK 74426-2063
(918) 473-5404
(918) 473-2719
Mailing address
24960 A ST, HENRYETTA, OK 74437-7354
(918) 798-1166
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10897
OK
Other
Enumeration date
11/08/2020
Last updated
11/08/2020
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