Individual
MR. SAM F THORNBROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1601 N. WATTS ST., SAYRE, OK 73662
(580) 928-3058
(580) 928-3873
Mailing address
PO BOX 99, SAYRE, OK 73662-0099
(580) 928-3058
(580) 928-3873
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7537
OK
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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