Individual
MR. RAYMOND NEALE COY JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
19655 NE 23RD ST, HARRAH, OK 73045-9305
(405) 454-6261
(405) 454-6262
Mailing address
PO BOX 98, HARRAH, OK 73045-0098
(405) 454-6261
(405) 454-6262
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8661
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8661
PHARMACY LISCENSE
OK
Enumeration date
08/11/2005
Last updated
07/08/2007
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