Individual
MR. DENNIS RAY JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
1015 S COMMERCE ST, ARDMORE, OK 73401-5018
(580) 221-5681
(580) 221-5691
Mailing address
PO BOX 489, ARDMORE, OK 73402-0489
(580) 221-5681
(580) 221-5691
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9521
OK
333600000X
Pharmacy
9521
OK
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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