Individual
DR. COTY MICHAEL WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1801 BELLE ISLE BLVD, OKLAHOMA CITY, OK 73118-4221
(405) 841-6516
(405) 841-6518
Mailing address
1801 BELLE ISLE BLVD, OKLAHOMA CITY, OK 73118-4221
(405) 841-6516
(405) 841-6518
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15197
OK
Other
Enumeration date
04/29/2013
Last updated
08/18/2013
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