Individual
DR. DEWEY W SHOUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
1940 N BROADWAY ST, POTEAU, OK 74953-2638
(918) 647-3137
(918) 647-2977
Mailing address
14513 EDWARDS LOOP, CAMERON, OK 74932-2099
(918) 647-3137
(918) 647-2977
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
6196
AR
183500000X
Pharmacist
Primary
8201
OK
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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