Individual
JAMIE PIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 W RUTH AVE, SALLISAW, OK 74955-7252
(918) 775-5552
(918) 775-5636
Mailing address
1101 W RUTH AVE, SALLISAW, OK 74955-7252
(918) 775-5552
(918) 775-5636
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12710
OK
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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