Individual
JAMISON TIMOTHY NIEWOEHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
601 W WILL ROGERS BLVD, CLAREMORE, OK 74017-6824
(918) 343-7451
Mailing address
601 W WILL ROGERS BLVD, CLAREMORE, OK 74017-6824
(918) 343-7451
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15422
OK
Other
Enumeration date
06/29/2013
Last updated
06/29/2013
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