Individual
SUSAN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
215 N MAIN ST, BRISTOW, OK 74010-2407
(918) 367-3391
(918) 367-3392
Mailing address
215 N MAIN ST, BRISTOW, OK 74010-2407
(918) 367-3391
(918) 367-3392
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13032
OK
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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