Individual
MITZI FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
591 S MILL ST, PRYOR, OK 74361-6015
(918) 825-5303
Mailing address
442230 E HIGHWAY 10, WELCH, OK 74369-9328
(918) 533-1508
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13728
OK
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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