Individual
MR. JOHN ROBERT REID III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
206 S ASH ST, NOWATA, OK 74048-4627
(918) 273-0433
(918) 273-0433
Mailing address
206 S ASH ST, NOWATA, OK 74048-4627
(918) 273-0433
(918) 273-0433
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8912
OK
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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