Individual
MS. TARA SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1310 MAIN ST, WOODWARD, OK 73801-3002
(580) 256-6600
(580) 254-2835
Mailing address
1310 MAIN ST, WOODWARD, OK 73801-3002
(580) 256-6600
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17869
OK
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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