Individual
DR. GARRETT REAN HUXALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
22122 E 63RD ST, BROKEN ARROW, OK 74014-2007
(918) 355-6148
(918) 355-7158
Mailing address
22122 E 63RD ST, BROKEN ARROW, OK 74014-2007
(918) 355-6148
(918) 355-7158
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
OK 9725
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CGP 757
GERATRICS BOARD CERT
VA
01
—
OK 9725
OKLAHOMA PHARMACY NUMBER
OK
Enumeration date
05/27/2005
Last updated
07/08/2007
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