Individual
DR. PAUL E REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
814 W BROADWAY ST, ARDMORE, OK 73401-4527
(580) 223-7636
(580) 223-0320
Mailing address
814 W BROADWAY ST, ARDMORE, OK 73401-4527
(580) 223-7636
(580) 223-0320
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11014
OK
183500000X
Pharmacist
28216
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11014
OKLAHOMA REGISTERED PHARMACIST
OK
01
—
28216
TEXAS PHARMACY
TX
Enumeration date
05/09/2013
Last updated
05/09/2013
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