Individual
KIRK MCGOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
301 NE 10TH ST, BLANCHARD, OK 73010-9817
(405) 485-9311
Mailing address
13432 ROPERS AVE, WAYNE, OK 73095-3261
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13277
OK
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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