Individual
GARY WOODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3902 NW CACHE RD, LAWTON, OK 73505-3734
(580) 353-7733
(580) 585-6524
Mailing address
3902 NW CACHE RD, LAWTON, OK 73505-3734
(580) 353-7733
(580) 585-6524
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10473
OK
Other
Enumeration date
11/04/2006
Last updated
07/08/2007
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