Individual
AMY ANDERSON CAROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 E INDUSTRIAL RD STE B, GUTHRIE, OK 73044-6813
(405) 282-0661
Mailing address
105 E INDUSTRIAL RD STE B, GUTHRIE, OK 73044-6813
(405) 282-0661
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11973
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11973
PHARMACIST LICENSE
OK
01
—
338979
NABP
OK
Enumeration date
10/13/2014
Last updated
10/13/2014
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