Individual
DR. DEREK EDWARD RALPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
112 E STATE HIGHWAY 152, MUSTANG, OK 73064-4402
(405) 376-3751
Mailing address
112 E STATE HIGHWAY 152, MUSTANG, OK 73064-4402
(405) 376-3751
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13778
OK
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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