Individual
ROBERT SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
200 W CHOCTAW ST, TAHLEQUAH, OK 74464-3808
(918) 947-8180
(918) 947-8199
Mailing address
200 W CHOCTAW ST, TAHLEQUAH, OK 74464-3808
(918) 947-8180
(918) 947-8199
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17048
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17048
OKLAHOMA STATE BOARD OF PHARMACY
OK
Enumeration date
08/11/2016
Last updated
08/11/2016
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