Individual
CALLIE JEAN HATAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
913 MANVEL AVE, CHANDLER, OK 74834-3851
(405) 258-1218
Mailing address
1709 NW 173RD ST, EDMOND, OK 73012-7005
(405) 593-0009
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15473
OK
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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