Individual
CHANCE WAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1904 CARL ALBERT BLVD STE A, ADA, OK 74820-3493
(580) 421-4569
Mailing address
24557 N 7 MILE RD, FORT GIBSON, OK 74434-6224
(918) 781-2217
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20647
OK
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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