Individual
JERRY RULON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1050 NW 38TH ST, LAWTON, OK 73505-3704
(580) 355-7124
(847) 396-2515
Mailing address
1004 WAVERLY WAY, ELGIN, OK 73538-3834
(580) 591-2520
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11277
OK
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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