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Individual

DR. COLBY DON CHALLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
97 GOODER SIMPSON BLVD, PIEDMONT, OK 73078-9215
(405) 373-3090
(405) 373-1748
Mailing address
97 GOODER SIMPSON BLVD, PIEDMONT, OK 73078-9215
(405) 373-3090
(405) 373-1748

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16941
OK

Other

Enumeration date
05/09/2019
Last updated
05/09/2019
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