Individual
DEREK LANCE COATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
200 S ADAIR ST, PRYOR, OK 74361-5202
(918) 825-3059
(918) 825-7714
Mailing address
200 S ADAIR ST, PRYOR, OK 74361-5202
(918) 825-3059
(918) 825-7714
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13264
OK
Other
Enumeration date
04/03/2009
Last updated
04/03/2009
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