Individual
DANNY CARL EPPERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
17675 S MUSKOGEE AVE, TAHLEQUAH, OK 74464-5492
(918) 453-5000
Mailing address
PO BOX 948, TAHLEQUAH, OK 74465-0948
(918) 453-5000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10146
OK
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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